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Organization
HORIZON WEST DENTAL
Active
Organization
HORIZON WEST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MOODY DDS (PARTNER)
(605) 716-5622
Entity
Organization
Contact information
Practice address
705 1ST ST, BOX 488, CRAWFORD, NE 69339-1186
(308) 665-2025
(308) 665-1506
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 716-5622
(605) 348-1626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6124
NE
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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