Organization
MOULDS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DOUGLAS MOULDS JR. DMD (OWNER)
(423) 894-3490
Entity
Organization
Contact information
Practice address
4620 HIGHWAY 58, CHATTANOOGA, TN 37416-3000
(423) 894-3490
Mailing address
4620 HIGHWAY 58, CHATTANOOGA, TN 37416-3000
(423) 894-3490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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