Individual
PATRICK THOMAS MORAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4797 SILVERWOOD ST, PHILADELPHIA, PA 19128-4623
(717) 471-2844
Mailing address
4797 SILVERWOOD ST, PHILADELPHIA, PA 19128-4623
(717) 471-2844
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS042335
PA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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