DR. JERRY MOODY, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1578780979
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DE00006219 (WA) |
Frequently Asked Questions
NPI 1578780979 is the National Provider Identifier for DR. JERRY MOODY, D.D.S., a Dentist - General Practice provider located in Tumwater, WA. This NPI was enumerated on April 19, 2007.
DR. JERRY MOODY, D.D.S. practices at 501 TYEE DR SW, Tumwater, WA 98512.
Quick Facts
- NPI
- 1578780979
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Jul 8, 2007
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