Organization
MOODY FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIS L LEWIS MOODY D.D.S. (DENTIST)
(215) 848-6446
Entity
Organization
Contact information
Practice address
10 E SCHOOL HOUSE LANE, PHILADELPHIA, PA 19144
(215) 848-6446
(215) 848-7202
Mailing address
10 E SCHOOL HOUSE LANE, PHILADELPHIA, PA 19144
(215) 848-6446
(215) 848-7202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024507L
PA
122300000X
Dentist
DS23581L
PA
Other
Enumeration date
12/28/2006
Last updated
01/14/2014
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