Moore Care Providers | |
8860 Corbin Ave Ste 386 Northridge CA 91324-3309 | |
(818) 428-9257 | |
Not Available |
Full Name | Moore Care Providers |
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Speciality | Dentist - General Practice |
Location | 8860 Corbin Ave, Northridge, California |
Authorized Official Name and Position | Girard G Brenneman (CEO) |
Authorized Official Contact | 8184289257 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moore Care Providers 8860 Corbin Ave Ste 386 Northridge CA 91324-3309 Ph: (818) 428-9257 | Moore Care Providers 8860 Corbin Ave Ste 386 Northridge CA 91324-3309 Ph: (818) 428-9257 |
NPI Number | 1669723136 |
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Provider Enumeration Date | 09/25/2012 |
Last Update Date | 09/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669723136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28656 (California) | Primary |
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