Moody Hanahan Dentistry LLC

NPI #1528693926 in Alton, Illinois

Provider Information

NPI Number
1528693926
Entity Type
Organization
Organization Name
Moody Hanahan Dentistry LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 5, 2020
Last Updated
Mar 6, 2020

Practice Location

Address
4119 HUMBERT RD
City
Alton
ZIP Code
62002-7116
Phone
(314) 477-1777

Authorized Official

Name
SARA HANAHAN, DMD
Title
OWNER
Phone
(618) 465-8100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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