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Organization
MICHAEL R. MOORE DDS PA
Active
Organization
MICHAEL R. MOORE DDS PA
Active
Other names
Southpoint Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RALPH MOORE DDS (OWNER)
(904) 296-3383
Entity
Organization
Contact information
Practice address
4189 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-3383
(904) 296-3384
Mailing address
4189 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-3383
(904) 296-3384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7308
FL
Other
Enumeration date
03/08/2011
Last updated
04/18/2013
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