Individual
DR. DAN DOUGLAS MOULDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
122300000X
Dentist
Primary
DS4609
TN
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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