Individual
DR. DEVAN WILLIAM MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 NORTHGATE DR, MIDLAND, MI 48640-7348
(989) 631-7880
Mailing address
308 NORTHGATE DR, MIDLAND, MI 48640-7348
(989) 631-7880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022562
MI
Other
Enumeration date
05/23/2018
Last updated
09/30/2024
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