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Dr. Edward Morris Moody III, DDS

Dentist, General Practice in Rayne, LA. Individual provider (NPI-1).

NPI number1669920591
StatusActive
Last updated in NPPESSep 20, 2016

Details

NPI
1669920591
Entity type
Individual (NPI-1)
Name
Dr. Edward Morris Moody III
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2016
Last updated
Sep 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5490LAYes

Practice location

404 E Texas Ave
Rayne, LA 70578-6435

Phone 337-334-2967 · Fax 337-334-2967

Mailing address

404 E Texas Ave
Rayne, LA 70578-6435

Phone 337-334-2967 · Fax 337-334-2967

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Other General Practice Dentistry providers in Rayne, LA

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