IndividualActive
Charon Moody, RDHAP
NPI 1558828160 · Advanced Practice Dental Therapist · Carson, CA
Provider details
- NPI number
- 1558828160
- Entity type
- Individual
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Credential
- RDHAP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 723 (CA)
Mailing address
727 E Holborn Dr
Carson, CA 90746-2328
Registry dates
- Enumerated
- 2019-03-01
- Last updated
- 2019-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.