# JUSTIN MOODY, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Dentures & Implants - Olympia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205657020
- **Authorized official:** RICHARD BUCK DMD (MANAGING DENTIST)
- **Authorized official phone:** (360) 357-9919

## Contact information

- **Practice address:** 1540 COOPER POINT RD SW STE 450, OLYMPIA, WA 98502-1033
- **Practice address phone:** (360) 357-9919
- **Mailing address:** 1540 COOPER POINT RD SW STE 450, OLYMPIA, WA 98502-1033
- **Mailing address phone:** (360) 357-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024