| Justin Moody, Dds, P.c. | |
|
1540 Cooper Point Rd Sw Ste 450 Olympia WA 98502-1033 | |
| (360) 357-9919 | |
| Not Available |
| Full Name | Justin Moody, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1540 Cooper Point Rd Sw Ste 450, Olympia, Washington |
| Authorized Official Name and Position | Richard Buck (MANAGING DENTIST) |
| Authorized Official Contact | 3603579919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Moody, Dds, P.c. 1540 Cooper Point Rd Sw Ste 450 Olympia WA 98502-1033 Ph: (360) 357-9919 | Justin Moody, Dds, P.c. 1540 Cooper Point Rd Sw Ste 450 Olympia WA 98502-1033 Ph: (360) 357-9919 |
| NPI Number | 1205657020 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205657020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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