Organization
OCEANA DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B MOORE DDS (OWNER)
(304) 890-3465
Entity
Organization
Contact information
Practice address
1427 COOK PARKWAY, OCEANA, WV 24870-2487
(304) 682-6104
(304) 682-6157
Mailing address
PO BOX 1438, OCEANA, WV 24870-1438
(304) 682-6104
(304) 682-6104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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