Individual
REX C. MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.S.S.
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 402, NEWPORT BEACH, CA 92660-7853
(949) 760-1600
(949) 760-0911
Mailing address
360 SAN MIGUEL DR, SUITE 402, NEWPORT BEACH, CA 92660-7853
(949) 760-1600
(949) 760-0911
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24148
CA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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