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Organization
MOORE FAMILY DENTAL LLC
Active
Organization
MOORE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN P ISRAELSEN (OWNER)
(361) 405-9080
Entity
Organization
Contact information
Practice address
3001 S TELEPHONE RD, MOORE, OK 73160-2942
(405) 206-8090
Mailing address
5700 SE 89TH ST, OKLAHOMA CITY, OK 73135-6017
(405) 206-8090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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