JOHN BRYANT MOODY

LOUISVILLE, KY
NPI1861595100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  5990)
Enumeration Date2006-09-05
Last Update Date2017-01-18
Business Address
Dr. JOHN BRYANT MOODY DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 812-218-8926
Mailing Address
Dr. JOHN BRYANT MOODY DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 812-218-8926