JUSTIN MOODY

SALT LAKE CITY, UT
NPI1316438310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: UT  10809874-9922)
Enumeration Date2018-05-24
Last Update Date2018-05-24
Business Address
JUSTIN MOODY DDS
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-663-3900
Mailing Address
JUSTIN MOODY DDS
898 E EMERSON AVE
SALT LAKE CITY, UT 84105-2219
Phone number: 801-885-8503
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