Brent W. Moody D.d.s., Pc | |
4320 Mcauley Blvd Oklahoma City OK 73120-8386 | |
(405) 755-8020 | |
Not Available |
Full Name | Brent W. Moody D.d.s., Pc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 4320 Mcauley Blvd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Brent W. Moody (PRESIDENT) |
Authorized Official Contact | 4057558020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brent W. Moody D.d.s., Pc 4320 Mcauley Blvd Oklahoma City OK 73120-8386 Ph: (405) 755-8020 | Brent W. Moody D.d.s., Pc 4320 Mcauley Blvd Oklahoma City OK 73120-8386 Ph: (405) 755-8020 |
NPI Number | 1225202138 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
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1225202138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5120 (Oklahoma) | Primary |
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