Organization
TUOLUMNE COUNTY OFFICE OF EDUCATION
Active
Other names
Smile Keepers Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY A. MOE DDS (DENTIST)
(209) 533-2225
Entity
Organization
Contact information
Practice address
175 FAIRVIEW LN, SONORA, CA 95370-4809
(209) 533-2225
(209) 536-2003
Mailing address
175 FAIRVIEW LN, SONORA, CA 95370-4809
(209) 533-2225
(209) 536-2003
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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