Organization
EASTLAND FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ERIC MOORE DDS (OWNER)
(816) 795-7007
Entity
Organization
Contact information
Practice address
19401 E 40 HWY, SUITE 180, INDEPENDENCE, MO 64055-5450
(816) 795-7007
(816) 795-7073
Mailing address
19401 E 40 HWY, SUITE 180, INDEPENDENCE, MO 64055-5450
(816) 795-7007
(816) 795-7073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003011849
MO
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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