Individual
ADAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1705 MARK WOOD ST, OKLAHOMA CITY, OK 73130-8455
(281) 689-5266
(883) 798-5508
Mailing address
143 GAULT RD, BLANCO, TX 78606-2598
(832) 799-9862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7154
OK
Other
Enumeration date
07/12/2007
Last updated
03/23/2021
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