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Organization
JUSTIN DAVID MOODY, DDS, A PROFESSIONAL CORPORATION
Active
Organization
JUSTIN DAVID MOODY, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MOODY DDS (PRACTICE OWNER)
(619) 441-0701
Entity
Organization
Contact information
Practice address
181 FLETCHER PKWY, EL CAJON, CA 92020-2525
(619) 441-0701
Mailing address
181 FLETCHER PKWY, EL CAJON, CA 92020-2525
(619) 441-0701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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