Individual
DR. LARRY P MOLDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4300 MONUMENT RD, PHILADELPHIA, PA 19131-1616
(215) 877-1925
Mailing address
113 FENWICK CT, CHERRY HILL, NJ 08034-3312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-024853-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010775100003
—
PA
Enumeration date
01/06/2006
Last updated
07/09/2007
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