Organization
KYLE R MOORE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE R MOORE DDS (OWNER)
(405) 848-4447
Entity
Organization
Contact information
Practice address
2751 NW EXPRESSWAY, SUITE 4, OKLAHOMA CITY, OK 73112
(405) 848-4447
(405) 848-4472
Mailing address
2751 NW EXPRESSWAY, SUITE 4, OKLAHOMA CITY, OK 73112
(405) 848-4447
(405) 848-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5286
OK
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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