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Organization
HERITAGE MOORE - AMS, PLLC
Active
Organization
HERITAGE MOORE - AMS, PLLC
Active
Other names
Heritage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISSA M MOORE DDS (PRACTICE OWNER)
(540) 373-1660
Entity
Organization
Contact information
Practice address
121 PARK HILL DR STE A, FREDERICKSBURG, VA 22401-3357
(540) 373-1660
Mailing address
121 PARK HILL DR STE A, FREDERICKSBURG, VA 22401-3357
(540) 373-1660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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