Organization
ANDREA MOORE DENTAL CORPORATION
Active
Other names
The Dental Office of Beaumont
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA C MOORE DDS (OWNER DOCTOR)
(951) 800-8095
Entity
Organization
Contact information
Practice address
1620 E 1ST ST STE 200, BEAUMONT, CA 92223-3174
(951) 800-8095
(951) 800-8095
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(302) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
08/05/2022
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