Whalio Doctors

NPI 1558828160

Charon Moody, RDHAP

Practitioner Advanced Practice Dental Therapist Carson, CA

Practice location

Address
727 E Holborn Dr, Carson, CA 90746-2328
Phone
(213) 591-0807

Registered specialties

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence 723 (CA)

Registry record

NPI
1558828160
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Mar 2019
Record last updated
1 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.