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1134240534
STANSON MOODY
MIDDLETOWN, RI
NPI
1134240534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: RI 1653)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. STANSON MOODY d.m.d
747 AQUIDNECK AVE STE 203
MIDDLETOWN, RI 02842-7265
Phone number: 401-846-9660
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Mailing Address
Dr. STANSON MOODY d.m.d
747 AQUIDNECK AVE STE 203
MIDDLETOWN, RI 02842-7265
Phone number: 401-846-9660
Copy
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