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Organization
TIMOTHY E. MOORE, DDS, MS, PC
Active
Organization
TIMOTHY E. MOORE, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EDWARD MOORE DDS (PRESIDENT)
(918) 494-7676
Entity
Organization
Contact information
Practice address
7134 S YALE AVE, SUITE #400, TULSA, OK 74136-6372
(918) 494-7676
(918) 494-0806
Mailing address
7134 S YALE AVE, SUITE #400, TULSA, OK 74136-6372
(918) 494-7676
(918) 494-0806
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3981
OK
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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