| Justin David Moody, Dds, A Professional Corporation | |
|
181 Fletcher Pkwy El Cajon CA 92020-2525 | |
| (619) 441-0701 | |
| Not Available |
| Full Name | Justin David Moody, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 181 Fletcher Pkwy, El Cajon, California |
| Authorized Official Name and Position | Justin Moody (PRACTICE OWNER) |
| Authorized Official Contact | 6194410701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin David Moody, Dds, A Professional Corporation 181 Fletcher Pkwy El Cajon CA 92020-2525 Ph: (619) 441-0701 | Justin David Moody, Dds, A Professional Corporation 181 Fletcher Pkwy El Cajon CA 92020-2525 Ph: (619) 441-0701 |
| NPI Number | 1437664331 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437664331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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