Organization
ALAN A MOORE, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN A MOOE DDS (PRESIDENT)
(936) 756-1616
Entity
Organization
Contact information
Practice address
701 EVERETT ST, CONROE, TX 77301-1830
(936) 756-1616
Mailing address
701 EVERETT ST, CONROE, TX 77301-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11666
TX
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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