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Organization
MOORE CARE PROVIDERS
Active
Organization
MOORE CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRARD G BRENNEMAN (CEO)
(818) 428-9257
Entity
Organization
Contact information
Practice address
8860 CORBIN AVE, STE 386, NORTHRIDGE, CA 91324-3309
(818) 428-9257
Mailing address
8860 CORBIN AVE, STE 386, NORTHRIDGE, CA 91324-3309
(818) 428-9257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28656
CA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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