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Organization

DRS. BARTS & MOORE PA

Active
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Organization

DRS. BARTS & MOORE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT E MOORE DDS, MD (ORAL & MAXILLOFACIAL SURGEON)
(704) 358-8898
Entity
Organization

Contact information

Practice address
1718 E 4TH ST, SUITE 804, CHARLOTTE, NC 28204-3261
(704) 358-8898
(704) 358-8889
Mailing address
1718 E 4TH ST, SUITE 804, CHARLOTTE, NC 28204-3261
(704) 358-8898
(704) 358-8889

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5366
NC

Other

Enumeration date
08/09/2006
Last updated
07/31/2008
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