Organization
MATTHE E. MOUDY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD MOUDY DDS (OWNER)
(501) 628-5555
Entity
Organization
Contact information
Practice address
12 MARLOU DR, CABOT, AR 72023-3693
(501) 628-5555
(501) 628-5562
Mailing address
12 MARLOU DR, CABOT, AR 72023-3693
(501) 628-5555
(501) 628-5562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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