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1912073941
DANA A MOODY
BELLEVILLE, IL
NPI
1912073941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019022156)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Dr. DANA A MOODY DMD
2900 FRANK SCOTT PKWY WEST SUITE 972A
BELLEVILLE, IL 62223-5000
Phone number: 618-277-4388
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Mailing Address
Dr. DANA A MOODY DMD
2900 FRANK SCOTT PKWY WEST SUITE 972A
BELLEVILLE, IL 62223-5000
Phone number: 618-277-4388
Copy
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