| Moore Dental At Lewis Center | |
|
6421 Pullman Dr Lewis Center OH 43035-7377 | |
| (740) 548-5100 | |
| Not Available |
| Full Name | Moore Dental At Lewis Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6421 Pullman Dr, Lewis Center, Ohio |
| Authorized Official Name and Position | Clifford W Moore (OWNER) |
| Authorized Official Contact | 4196030236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Dental At Lewis Center 6421 Pullman Dr Lewis Center OH 43035-7377 Ph: (740) 548-5100 | Moore Dental At Lewis Center 6421 Pullman Dr Lewis Center OH 43035-7377 Ph: (740) 548-5100 |
| NPI Number | 1104208594 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 06/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104208594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30.023482 (Ohio) | Primary |
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