Individual provider · Type 1 NPI

Katelyn Moyer, DMD

Student in an Organized Health Care Education/Training Program · Redlands, CA

NPI number 1205403771 Active

Practice location

26001 Redlands Blvd # 160
Redlands, CA 92373-7762

Call (805) 433-2712 Map

Mailing address

696 Weaver St
Simi Valley, CA 93065-4315

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205403771

Katelyn Moyer, DMD's National Provider Identifier is 1205403771, issued on Jun 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redlands, CA. The record was last updated on Jun 25, 2021.