GEORGE TERRANCE MOODY

GRENADA, MS
NPI1992835151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2090-84)
Enumeration Date2007-03-06
Last Update Date2007-07-09
Business Address
Dr. GEORGE TERRANCE MOODY D.M.D.
1450 OAK ST
GRENADA, MS 38901-4600
Phone number: 662-226-0554
Mailing Address
Dr. GEORGE TERRANCE MOODY D.M.D.
PO BOX 1004
GRENADA, MS 38902-1004
Phone number: 662-226-0554
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