CHARON MOODY

CARSON, CA
NPI1558828160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: CA  723)
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
CHARON MOODY RDHAP
727 E HOLBORN DR
CARSON, CA 90746-2328
Phone number: 213-591-0807
Mailing Address
CHARON MOODY RDHAP
727 E HOLBORN DR
CARSON, CA 90746-2328
Phone number: 213-591-0807