Individual
DR. MICHAEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1508 W 10TH ST, LAUREL, MS 39440-2668
(601) 428-6093
Mailing address
106 MELISSA LN, HATTIESBURG, MS 39402-3330
(601) 319-5717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4059-19
MS
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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