Organization
DR. JUSTIN MOODY, PLLC
Active
Other names
Advanced Dental Implant Center - Tacoma
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG SMITH DDS (MANAGING DENTIST)
(253) 752-6349
Entity
Organization
Contact information
Practice address
2501 N PEARL ST, TACOMA, WA 98406-2540
(253) 752-6349
Mailing address
2501 N PEARL ST, TACOMA, WA 98406-2540
(253) 752-6349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
07/30/2024
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