Market Street Family Dentist, PC

NPI #1750127601 in Troy, Illinois

Provider Information

NPI Number
1750127601
Entity Type
Organization
Organization Name
Market Street Family Dentist, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 1, 2024
Last Updated
Jul 1, 2024

Practice Location

Address
550 EDWARDSVILLE RD
City
Troy
ZIP Code
62294-1338
Phone
(618) 667-3446

Authorized Official

Name
DR. BEAU MOODY, DMD
Title
PRESIDENT
Phone
(618) 667-6101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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