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1396769006
EDWARD HERBERT MOODY
MORRISTOWN, TN
NPI
1396769006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TN DS4447)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. EDWARD HERBERT MOODY DDS
920 W MAIN ST
MORRISTOWN, TN 37814-4515
Phone number: 423-587-1421
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Mailing Address
Dr. EDWARD HERBERT MOODY DDS
920 W MAIN ST
MORRISTOWN, TN 37814-4515
Phone number: 423-587-1421
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