Individual
DR. MARC TED JOHN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
604 WASHINGTON SQUARE SOUTH, PHILADELPHIA, PA 19606
(215) 627-0777
(215) 627-0778
Mailing address
604 WASHINGTON SQUARE SOUTH, PHILIADELPHIA, PA 19606
(215) 990-8423
(215) 627-0778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036773
PA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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