Individual
JOHN REX MORIARITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
830 STATE ST, BOYNE CITY, MI 49712-9179
(231) 582-8000
(231) 582-6853
Mailing address
830 STATE ST, PO BOX 368, BOYNE CITY, MI 49712-9179
(231) 582-8000
(231) 582-6853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013182
MI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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