Organization
MOORE DENTAL AT LEWIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD W MOORE D.D.S. (OWNER)
(419) 603-0236
Entity
Organization
Contact information
Practice address
6421 PULLMAN DR, LEWIS CENTER, OH 43035-7377
(740) 548-5100
Mailing address
6421 PULLMAN DR, LEWIS CENTER, OH 43035-7377
(740) 548-5100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.023482
OH
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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