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
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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