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Organization
JUSTIN D. MOODY, DDS, A PROFESSIONAL CORPORATION
Active
Organization
JUSTIN D. MOODY, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MOODY DDS (OWNER)
(530) 433-0675
Entity
Organization
Contact information
Practice address
2485 NOTRE DAME BLVD STE 210, CHICO, CA 95928-7165
(530) 433-0672
Mailing address
2485 NOTRE DAME BLVD STE 210, CHICO, CA 95928-7165
(530) 433-0672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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