Individual
DR. DANA A MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2900 FRANK SCOTT PKWY WEST, SUITE 972A, BELLEVILLE, IL 62223-5000
(618) 277-4388
(618) 277-4388
Mailing address
2900 FRANK SCOTT PKWY WEST, SUITE 972A, BELLEVILLE, IL 62223-5000
(618) 277-4388
(618) 277-4388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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