| David Moody Dental Corporation | |
|
19737 W Valley Blvd Tehachapi CA 93561-8601 | |
| (661) 823-7644 | |
| (661) 823-8561 |
| Full Name | David Moody Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19737 W Valley Blvd, Tehachapi, California |
| Authorized Official Name and Position | David Gale Moody (OWNER/ DENTIST) |
| Authorized Official Contact | 6618237644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Moody Dental Corporation 19737 W Valley Blvd Tehachapi CA 93561-8601 Ph: (661) 823-7644 | David Moody Dental Corporation 19737 W Valley Blvd Tehachapi CA 93561-8601 Ph: (661) 823-7644 |
| NPI Number | 1871192484 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871192484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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