JERRY WAYNE MOODY

TUMWATER, WA
NPI1578780979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00006219)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. JERRY WAYNE MOODY D.D.S.
501 TYEE DR SW
TUMWATER, WA 98512-7313
Phone number: 360-352-5100
Mailing Address
Dr. JERRY WAYNE MOODY D.D.S.
501 TYEE DR SW
TUMWATER, WA 98512-7313
Phone number: 360-352-5100
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