Organization
BRIAN MOODY, DDS, PLLC
Active
Other names
Creekside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MOODY DDS (OWNER)
(425) 485-0300
Entity
Organization
Contact information
Practice address
19214 BOTHELL WAY NE, SUITE C, BOTHELL, WA 98011-6066
(425) 485-0300
Mailing address
19214 BOTHELL WAY NE, SUITE C, BOTHELL, WA 98011-6066
(425) 485-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010023
WA
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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