Individual
DR. DEANA LANE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4255 ALTAMONT PL, SUITE 204, WHITE PLAINS, MD 20695-3023
(240) 349-2158
(240) 349-2158
Mailing address
4255 ALTAMONT PL, SUITE 204, WHITE PLAINS, MD 20695-3023
(240) 349-2158
(240) 349-2158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11572
MD
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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