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Organization
DAVID MOODY DENTAL CORPORATION
Active
Organization
DAVID MOODY DENTAL CORPORATION
Active
Other names
Peachy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GALE MOODY DDS (OWNER/ DENTIST)
(661) 823-7644
Entity
Organization
Contact information
Practice address
19737 W VALLEY BLVD, TEHACHAPI, CA 93561-8601
(661) 823-7644
(661) 823-8561
Mailing address
19737 W VALLEY BLVD, TEHACHAPI, CA 93561-8601
(661) 823-7644
(661) 823-8561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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