Individual
BRANDIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6200
Mailing address
1712 W 110TH PL S, JENKS, OK 74037-2616
(918) 706-2329
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3470
OK
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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