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Organization
MGMDDS
Active
Organization
MGMDDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G MOORE D.D.S. (OWNER/DENTIST)
(281) 486-9222
Entity
Organization
Contact information
Practice address
13810 JOHN AUDUBON PKWY STE A, WEBSTER, TX 77598-3862
(281) 486-9222
(281) 486-8700
Mailing address
13810 JOHN AUDUBON PKWY STE A, WEBSTER, TX 77598-3862
(281) 486-9222
(281) 486-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17826
TX
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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