Dr. G. Peter Moylan, III, D.M.D.
Dentist in North East, PA. Individual provider (NPI-1).
NPI number1285644559
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285644559
- Entity type
- Individual (NPI-1)
- Name
- Dr. G. Peter Moylan, III
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS024915L | PA | Yes |
Practice location
35 W Main StNorth East, PA 16428-1135
Phone 814-725-1223
Mailing address
35 W Main StNorth East, PA 16428-1135
Phone 814-725-1223
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