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1750416327
BRIAN P MOODY
SHORELINE, WA
NPI
1750416327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00010023)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. BRIAN P MOODY D.D.S.
735 N 185TH ST
SHORELINE, WA 98133-3901
Phone number: 206-542-7000
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Mailing Address
Dr. BRIAN P MOODY D.D.S.
19838 83RD PL NE
KENMORE, WA 98028-2091
Phone number: 425-482-9685
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