Organization
ROCKY MOUNTAIN DENTAL IMPLANT CENTER
Active
Other names
The Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DAVID MOODY DDS (OWNER/SOLE MBR)
(303) 515-6700
Entity
Organization
Contact information
Practice address
1900 16TH ST, SUITE 1150, DENVER, CO 80202-5120
(303) 515-6700
(888) 484-0355
Mailing address
1900 16TH ST, SUITE 1150, DENVER, CO 80202-5120
(303) 515-6700
(888) 484-0355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN 9555
CO
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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