Organization
STAR DENTAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MOORE DDS (DENTIST)
(719) 597-7979
Entity
Organization
Contact information
Practice address
2620 TENDERFOOT HILL ST STE 210, COLORADO SPRINGS, CO 80906-8356
(719) 597-7979
Mailing address
2620 TENDERFOOT HILL ST STE 210, COLORADO SPRINGS, CO 80906-8356
(719) 597-7979
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
04/07/2020
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