Individual
BOBBY E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 E OKLAHOMA AVE, STE 103, ENID, OK 73701-5951
(580) 233-1717
(580) 233-1719
Mailing address
615 E OKLAHOMA AVE, STE 103, ENID, OK 73701-5951
(580) 233-1717
(580) 233-1719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5731
OK
Other
Enumeration date
10/26/2006
Last updated
11/20/2007
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