Individual
DR. GREGORY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9170 JEWEL LAKE RD, ANCHORAGE, AK 99502-5390
(907) 248-7275
Mailing address
9170 JEWEL LAKE RD, ANCHORAGE, AK 99502-5390
(907) 248-7275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1561
AK
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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