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1538739438
MICHAEL THOMAS MOODY
PORTLAND, OR
NPI
1538739438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D11624)
Enumeration Date
2021-07-01
Last Update Date
2023-06-12
Business Address
Dr. MICHAEL THOMAS MOODY DDS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Dr. MICHAEL THOMAS MOODY DDS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Copy
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