Individual
DR. JON Y. MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 S MAIN, #3, FILLMORE, UT 84631
(435) 743-6178
(435) 743-6178
Mailing address
55 S MAIN, #3, FILLMORE, UT 84631
(435) 743-6178
(435) 743-6178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02670-0701-7
UT
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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