| Brian P. Moody, Dds, Pllc | |
|
4055 21st Ave W Suite 101 Seattle WA 98199-1247 | |
| (206) 285-1338 | |
| (206) 285-4665 |
| Full Name | Brian P. Moody, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4055 21st Ave W, Seattle, Washington |
| Authorized Official Name and Position | Brian P Moody (DENTIST) |
| Authorized Official Contact | 2062851338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P. Moody, Dds, Pllc 4055 21st Ave W Suite 101 Seattle WA 98199-1247 Ph: (206) 285-1338 | Brian P. Moody, Dds, Pllc 4055 21st Ave W Suite 101 Seattle WA 98199-1247 Ph: (206) 285-1338 |
| NPI Number | 1023329620 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023329620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010023 (Washington) | Primary |
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