Organization
SMILE OF OKLAHOMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MOORE (OWNER)
(800) 848-7566
Entity
Organization
Contact information
Practice address
414 UNION STREET 8TH FLOOR, NASHVILLE, TN 37219
(800) 848-7566
Mailing address
414 UNION STREET 8TH FLOOR, NASHVILLE, TN 37219
(800) 848-7566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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