Individual
DR. MARC WILSON MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3821 LORNA RD, SUITE 106, HOOVER, AL 35244-1097
(205) 988-3360
(205) 988-3606
Mailing address
3821 LORNA RD, SUITE 106, HOOVER, AL 35244-1097
(205) 988-3360
(205) 988-3606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3608
AL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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