Justin Moody, Dds, a Professional Corporation
NPI #1407530850 in Stockton, California
Provider Information
- NPI Number
- 1407530850
- Entity Type
- Organization
- Organization Name
- Justin Moody, Dds, a Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 5756 PACIFIC AVE STE 40
- City
- Stockton
- State
- California
- ZIP Code
- 95207-5156
- Phone
- (209) 390-4923
Authorized Official
- Name
- JUSTIN MOODY, DDS
- Title
- OWNER
- Phone
- (209) 390-4923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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