Organization
J. DONALD MOORHEAD, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DONALD MOORHEAD DDS (PRESIDENT)
(330) 659-9739
Entity
Organization
Contact information
Practice address
2456 W BOSTON RD, BROADVIEW HTS, OH 44147-3263
(330) 659-9739
(330) 659-2456
Mailing address
2456 W BOSTON RD, BROADVIEW HTS, OH 44147-3263
(330) 659-9739
(330) 659-2456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12276
OH
Other
Enumeration date
01/08/2007
Last updated
02/22/2012
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