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Organization
TUOLUMNE COUNTY OFFICE OF EDUCATION
Active
Organization
TUOLUMNE COUNTY OFFICE OF EDUCATION
Active
Other names
Smile Keepers Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY A. MOE DDS (DENTIST)
(209) 533-2225
Entity
Organization
Contact information
Practice address
175 FAIRVIEW LN, SONORA, CA 95370-4809
(209) 533-2225
(209) 536-2003
Mailing address
175 FAIRVIEW LN, SONORA, CA 95370-4809
(209) 533-2225
(209) 536-2003
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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