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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