John Ferrell Moffett, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Lake Charles, LA

NPI

1003949652

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

4251 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-13

Last updated

2007-07-08