| Moulds Family Dentistry Llc | |
|
4620 Highway 58 Chattanooga TN 37416-3000 | |
| (423) 894-3490 | |
| Not Available |
| Full Name | Moulds Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4620 Highway 58, Chattanooga, Tennessee |
| Authorized Official Name and Position | Dan Douglas Moulds (OWNER) |
| Authorized Official Contact | 4238943490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moulds Family Dentistry Llc 4620 Highway 58 Chattanooga TN 37416-3000 Ph: (423) 894-3490 | Moulds Family Dentistry Llc 4620 Highway 58 Chattanooga TN 37416-3000 Ph: (423) 894-3490 |
| NPI Number | 1235522491 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235522491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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