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Individual
DR. ANNA GILREATH MOORHEAD
Active
Individual
DR. ANNA GILREATH MOORHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.035647
IL
122300000X
Dentist
8786
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.003402
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DGD.10420
SC
Other
Enumeration date
09/01/2016
Last updated
07/03/2025
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