Individual
JAMES WILLIAM MOODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
24700 CENTER RIDGE RD, ONE KING JAMES SOUTH, SUITE #19, WESTLAKE, OH 44145-5636
(440) 871-7979
(440) 871-7093
Mailing address
24700 CENTER RIDGE RD, ONE KING JAMES SOUTH, SUITE #19, WESTLAKE, OH 44145-5636
(440) 871-7979
(440) 871-7093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15830
OH
Other
Enumeration date
07/31/2006
Last updated
02/16/2015
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