Provider Demographics
NPI:1780610451
Name:MOE, SEIN (DDS)
Entity type:Individual
Prefix:DR
First Name:SEIN
Middle Name:
Last Name:MOE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1890 SW HEALTH PKWY
Mailing Address - Street 2:STE 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-254-9933
Mailing Address - Fax:239-254-9935
Practice Address - Street 1:1890 SW HEALTH PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0473
Practice Address - Country:US
Practice Address - Phone:239-254-9933
Practice Address - Fax:239-254-9935
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN154491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery