Moody, Charon

Moody, Charon is an sole proprietor health care provider with primary practice located at 727 E Holborn Dr , Carson CA 90746-2328. She recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as her primary health care specialty. Moody, Charon can be contacted via phone (213) 591-0807.

Contact Information

Primary practice address
727 E Holborn Dr Carson CA 90746-2328
Phone: (213) 591-0807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Advanced Practice Dental Therapist 125K00000X 723 California

Profile Details

NPI number 1558828160
LBN Legal business name Moody, Charon
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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