Forrest Moudy

NPI #1750707097 in Danville, Arkansas

Provider Information

NPI Number
1750707097
Entity Type
Individual
Name
Forrest Moudy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 11, 2014
Last Updated
Mar 11, 2014

Practice Location

Address
105 E 10TH ST
ZIP Code
72833-0878
Phone
(479) 495-2115

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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