Market Street Family Dentist, PC
NPI #1770122194 in Troy, Illinois
Provider Information
- NPI Number
- 1770122194
- Entity Type
- Organization
- Organization Name
- Market Street Family Dentist, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Jul 24, 2023
Practice Location
Authorized Official
- Name
- DR. BEAU MOODY, DMD
- Title
- PRESIDENT
- Phone
- (618) 667-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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