Individual
DR. BRIAN P MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
735 N 185TH ST, SHORELINE, WA 98133-3901
(206) 542-7000
Mailing address
19838 83RD PL NE, KENMORE, WA 98028-2091
(425) 482-9685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010023
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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