Individual
DR. JOHN THOMAS MOYLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3511 PARLIAMENT CT, ALEXANDRIA, LA 71303-3135
(318) 545-7606
Mailing address
3511 PARLIAMENT CT, ALEXANDRIA, LA 71303-3135
(318) 545-7606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415210
VA
1223G0001X
General Practice Dentistry
Primary
6504
LA
Other
Enumeration date
08/19/2014
Last updated
10/31/2024
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