Organization
BRIAN P. MOODY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P MOODY DDS (DENTIST)
(206) 285-1338
Entity
Organization
Contact information
Practice address
4055 21ST AVE W, SUITE 101, SEATTLE, WA 98199-1247
(206) 285-1338
(206) 285-4665
Mailing address
4055 21ST AVE W, SUITE 101, SEATTLE, WA 98199-1247
(206) 285-1338
(206) 285-4665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010023
WA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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