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1700094489
LAURA LEIGH C MOODY
JACKSON, MS
NPI
1700094489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3333-05)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Dr. LAURA LEIGH C MOODY DMD
2620 RIVER HILLS DR
JACKSON, MS 39216-4865
Phone number: 601-981-2147
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Mailing Address
Dr. LAURA LEIGH C MOODY DMD
2620 RIVER HILLS DR
JACKSON, MS 39216-4865
Phone number: 601-981-2147
Copy
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