Organization
MARTIN MINI IMPLANT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHRISTOPHER MOORE DDS (DENTIST)
(731) 571-2437
Entity
Organization
Contact information
Practice address
115 KENNEDY DR, MARTIN, TN 38237-3309
(731) 571-2437
Mailing address
115 KENNEDY DR, MARTIN, TN 38237-3309
(731) 571-2437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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