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Individual
DR. JOHN THOMAS MOYLAN III
Active
Individual
DR. JOHN THOMAS MOYLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415210
VA
1223G0001X
General Practice Dentistry
Primary
6504
LA
Other
Enumeration date
08/19/2014
Last updated
10/31/2024
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