Individual
MRS. TERRY A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2200 FORT ROOTS DR, DENTAL SERVICE/ 160-NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2200
(501) 257-2100
Mailing address
2200 FORT ROOTS DR, DENTAL SERVICE/ 160-NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2200
(501) 257-2100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH818
AR
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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