Individual
DR. JODY MORELOCK WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 RIDGELY AVE, SUITE 306, ANNAPOLIS, MD 21401-1410
(410) 268-9336
(410) 268-9428
Mailing address
7241 PRESERVATION CT, FULTON, MD 20759-2304
(301) 604-4210
(301) 604-4210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10179
MD
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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