Justin David Moody, Dds, a Professional Corporation
NPI #1437664331 in El Cajon, California
Provider Information
- NPI Number
- 1437664331
- Entity Type
- Organization
- Organization Name
- Justin David Moody, Dds, a Professional Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 13, 2017
- Last Updated
- Dec 13, 2017
Practice Location
- Address
- 181 FLETCHER PKWY
- City
- El Cajon
- State
- California
- ZIP Code
- 92020-2525
- Phone
- (619) 441-0701
Authorized Official
- Name
- JUSTIN MOODY, DDS
- Title
- PRACTICE OWNER
- Phone
- (619) 441-0701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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