Individual
DR. MARK ANDREW MOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
481 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-3347
(270) 826-2677
(270) 826-8112
Mailing address
481 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-3347
(270) 826-2677
(270) 826-8112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6871
KY
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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