| Moore Dental Pc | |
|
511 W 8 Mile Rd Detroit MI 48203-1004 | |
| (313) 454-4800 | |
| Not Available |
| Full Name | Moore Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 W 8 Mile Rd, Detroit, Michigan |
| Authorized Official Name and Position | Charzatta Moore (PRESIDENT) |
| Authorized Official Contact | 5865588004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Dental Pc 27201 Ryan Rd Warren MI 48092-5127 Ph: () - | Moore Dental Pc 511 W 8 Mile Rd Detroit MI 48203-1004 Ph: (313) 454-4800 |
| NPI Number | 1205217049 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205217049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901014832 (Michigan) | Primary |
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