Robert M Moodydds/ Eureka

NPI #1265624712 in Eureka, Kansas

Provider Information

NPI Number
1265624712
Entity Type
Organization
Organization Name
Robert M Moodydds/ Eureka
Subpart
Yes (part of a larger organization)
Parent Organization
ROBERT M. MOODY/EL DORADO
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 17, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
302 W 3RD ST
City
Eureka
State
Kansas
ZIP Code
67045-1404
Phone
(620) 583-7489

Authorized Official

Name
DR. ROBERT M MOODY, DDS
Title
OWNER/DENTIST
Phone
(620) 583-7489

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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