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Search › Washington › General Practice Dentistry

Jerry Moody, D.D.S

NPI 1578780979 · on the registry since 2007 · sole proprietor

Practice

Address
501 Tyee Dr Sw
Tumwater, WA 98512
Phone
(360) 352-5100
Fax
(360) 705-1274

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington