# JUSTIN DAVID MOODY, DDS, P.C.

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

## Provider details

- **NPI number:** 1699509018
- **Authorized official:** JUSTIN MOODY DDS (OWNER)
- **Authorized official phone:** (509) 469-0875

## Contact information

- **Practice address:** 102 N FAIR AVE STE 102, YAKIMA, WA 98901-4543
- **Practice address phone:** (509) 469-0875
- **Mailing address:** 102 N FAIR AVE STE 102, YAKIMA, WA 98901-4543
- **Mailing address phone:** (509) 469-0875

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024