Provider Demographics
NPI:1942054044
Name:DAVID C. MOY DDS. INC.
Entity Type:Organization
Organization Name:DAVID C. MOY DDS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-865-3635
Mailing Address - Street 1:11747 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-6604
Mailing Address - Country:US
Mailing Address - Phone:562-865-3635
Mailing Address - Fax:562-865-1866
Practice Address - Street 1:11747 SOUTH ST
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-6604
Practice Address - Country:US
Practice Address - Phone:562-865-3635
Practice Address - Fax:562-865-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty