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Organization
BG MOORE, DDS, PA
Active
Organization
BG MOORE, DDS, PA
Active
Other names
Willow Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SCOGGINS (OFFICE MANAGER)
(704) 342-3213
Entity
Organization
Contact information
Practice address
1720 ABBEY PL, STE 1, CHARLOTTE, NC 28209-3736
(704) 525-9818
Mailing address
1720 ABBEY PL, STE 1, CHARLOTTE, NC 28209-1546
(704) 525-9818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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