Organization
BG MOORE, DDS, PA
Active
Other names
Willow Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SCOGGINS (OFFICE MANAGER)
(704) 342-3213
Entity
Organization
Contact information
Practice address
1720 ABBEY PL, STE 1, CHARLOTTE, NC 28209-3736
(704) 525-9818
Mailing address
1720 ABBEY PL, STE 1, CHARLOTTE, NC 28209-1546
(704) 525-9818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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