Robert M Moodydds/ Eureka | |
302 W 3rd St Eureka KS 67045-1404 | |
(620) 583-7489 | |
(620) 583-7489 |
Full Name | Robert M Moodydds/ Eureka |
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Speciality | Dentist - General Practice |
Location | 302 W 3rd St, Eureka, Kansas |
Authorized Official Name and Position | Robert M Moody (OWNER/DENTIST) |
Authorized Official Contact | 6205837489 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert M Moodydds/ Eureka 302 W 3rd St Eureka KS 67045-1404 Ph: (620) 583-7489 | Robert M Moodydds/ Eureka 302 W 3rd St Eureka KS 67045-1404 Ph: (620) 583-7489 |
NPI Number | 1265624712 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265624712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Eureka Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 N Main St, Eureka, KS 67045 Phone: 620-583-5535 Fax: 620-583-5755 |