Individual
AUDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2100 COMMERCE DR, PARSONS, KS 67357-4951
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10332
KS
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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