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Individual
DR. NICHOLAS GEORGE MOOBERRY
Active
Individual
DR. NICHOLAS GEORGE MOOBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11147
OR
1223G0001X
General Practice Dentistry
7002
AZ
1223G0001X
General Practice Dentistry
DO7002
AZ
Other
Enumeration date
04/03/2007
Last updated
07/21/2022
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