Organization
ROBERT M MOODYDDS/ EUREKA
Active
Parent organization
ROBERT M. MOODY/EL DORADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT M. MOODY/EL DORADO
Authorized official
DR. ROBERT M MOODY DDS (OWNER/DENTIST)
(620) 583-7489
Entity
Organization
Contact information
Practice address
302 W 3RD ST, EUREKA, KS 67045-1404
(620) 583-7489
(620) 583-7489
Mailing address
302 W 3RD ST, EUREKA, KS 67045-1404
(620) 583-7489
(620) 583-7489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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