Organization
E.L. MOORE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITH L MOORE (DENTIST)
(813) 932-0458
Entity
Organization
Contact information
Practice address
6702 N ARMENIA AVE, TAMPA, FL 33604-5716
(813) 932-0458
Mailing address
6702 N ARMENIA AVE, TAMPA, FL 33604-5716
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0010803
FL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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