Individual
DR. COREY BRENT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
857 COLLIER RD NW STE 5A-5B, ATLANTA, GA 30318-2532
(404) 689-4140
(404) 689-4142
Mailing address
3424 FOX HOUND RUN, LITHONIA, GA 30038-1605
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014924
GA
Other
Enumeration date
10/22/2014
Last updated
07/21/2022
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