JOHN A MOODY

ROCKFORD, IL
NPI1457411522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19024011)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- JOHN A MOODY DDS
4040 MORSAY DR
ROCKFORD, IL 61107-4851
Phone number: 815-399-0866
Mailing Address
-- JOHN A MOODY DDS
10121 BRIARWOOD CT
BELVIDERE, IL 61008-8581
Phone number: 815-871-9545
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