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Organization
MOORE DENTAL OFFICE
Active
Organization
MOORE DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. MOORE D.D.S. (PARTNER)
(731) 587-4742
Entity
Organization
Contact information
Practice address
113 KENNEDY DR, MARTIN, TN 38237-3344
(731) 587-4742
(731) 587-4411
Mailing address
113 KENNEDY DR, MARTIN, TN 38237-3344
(731) 587-4742
(731) 587-4411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS5287
TN
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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