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Individual

DR. MICHAEL P MORIARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
400 4TH AVE., SEWARD, AK 99664
(907) 224-3071
(907) 224-6001
Mailing address
PO BOX 710, SEWARD, AK 99664-0710
(907) 224-3071
(907) 224-6001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
712
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD07121
AK
Enumeration date
07/25/2006
Last updated
07/08/2007
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