Provider Demographics
NPI:1225607781
Name:MOFFETT, GABRIELA FRANQUI (DMD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:FRANQUI
Last Name:MOFFETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13762 W STATE ROAD 84 # 251
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-5305
Mailing Address - Country:US
Mailing Address - Phone:305-905-5474
Mailing Address - Fax:
Practice Address - Street 1:6905 W BROWARD BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2903
Practice Address - Country:US
Practice Address - Phone:954-289-0207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN260401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice