| NPI | 1407530850 |
|---|---|
| Doing Business As | AFFORDABLE DENTURES & IMPLANTS - STOCKTON |
| Entity Type | Organization |
| Authorized Contact | JUSTIN MOODY Owner 209-390-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |