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Organization
CASEY S. MOORE, DDS LLC
Active
Organization
CASEY S. MOORE, DDS LLC
Active
Other names
Moore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY MOORE DDS (OWNER)
(417) 887-1397
Entity
Organization
Contact information
Practice address
3082 S DELAWARE AVE, SPRINGFIELD, MO 65804-6418
(417) 887-1397
Mailing address
3082 S DELAWARE AVE, SPRINGFIELD, MO 65804-6418
(417) 887-1397
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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