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1861595100
JOHN BRYANT MOODY
LOUISVILLE, KY
NPI
1861595100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 5990)
Enumeration Date
2006-09-05
Last Update Date
2017-01-18
Business Address
Dr. JOHN BRYANT MOODY DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 812-218-8926
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Mailing Address
Dr. JOHN BRYANT MOODY DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 812-218-8926
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