Individual
DR. EDWARD MORRIS MOODY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
404 E TEXAS AVE, RAYNE, LA 70578-6435
(337) 334-2967
Mailing address
404 E TEXAS AVE, RAYNE, LA 70578-6435
(337) 334-2967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3010
LA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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