Organization
ROBERT L MOORE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L MOORE DDS (DENTIST OWNER)
(405) 624-8955
Entity
Organization
Contact information
Practice address
1717 W 6TH AVE, STILLWATER, OK 74074
(405) 624-8955
(405) 743-3366
Mailing address
1717 W 6TH AVE, STILLWATER, OK 74074-4200
(405) 624-8955
(405) 743-3366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4620
OK
Other
Enumeration date
05/21/2008
Last updated
06/02/2008
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