Individual
RICHARD MOORE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2455 CYPRESS VILLAGE DR, BENTON, LA 71006-9119
(318) 422-6900
Mailing address
2455 CYPRESS VILLAGE DR, BENTON, LA 71006-9119
(318) 422-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6750
LA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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