| Justin D. Moody, Dds, A Professional Corporation | |
|
2485 Notre Dame Blvd Ste 210 Chico CA 95928-7165 | |
| (530) 433-0672 | |
| Not Available |
| Full Name | Justin D. Moody, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2485 Notre Dame Blvd Ste 210, Chico, California |
| Authorized Official Name and Position | Justin Moody (OWNER) |
| Authorized Official Contact | 5304330675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin D. Moody, Dds, A Professional Corporation 2485 Notre Dame Blvd Ste 210 Chico CA 95928-7165 Ph: (530) 433-0672 | Justin D. Moody, Dds, A Professional Corporation 2485 Notre Dame Blvd Ste 210 Chico CA 95928-7165 Ph: (530) 433-0672 |
| NPI Number | 1487404976 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487404976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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