MICHAEL DERRICK MOODY

BARTLESVILLE, OK
NPI1033204094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  7289)
Enumeration Date2006-10-04
Last Update Date2024-04-10
Business Address
Dr. MICHAEL DERRICK MOODY DDS
215 SE HOWARD AVE
BARTLESVILLE, OK 74006-2204
Phone number: 918-333-9155
Mailing Address
Dr. MICHAEL DERRICK MOODY DDS
9990 W 26TH AVE SUITE 100
LAKEWOOD, CO 80215-1581
Phone number: 303-232-4422
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