Individual
DR. BOBBY TOM MOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 WEST YOAKUM, CHAFFEE, MO 63740
(573) 887-3232
Mailing address
135 WEST YOAKUM, CHAFFEE, MO 63740
(573) 887-3232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9356
MO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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