Individual
ROBERT L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 W 6TH, STILLWATER, OK 74074
(405) 743-4664
(405) 743-3366
Mailing address
1717 W 6TH, STILLWATER, OK 74074
(405) 743-4664
(405) 743-3366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4620
OK
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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