| Moore Family Dental Llc | |
|
3001 S Telephone Rd Moore OK 73160-2942 | |
| (405) 206-8090 | |
| Not Available |
| Full Name | Moore Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3001 S Telephone Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Loren P Israelsen (OWNER) |
| Authorized Official Contact | 3614059080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Family Dental Llc 5700 Se 89th St Oklahoma City OK 73135-6017 Ph: (405) 206-8090 | Moore Family Dental Llc 3001 S Telephone Rd Moore OK 73160-2942 Ph: (405) 206-8090 |
| NPI Number | 1568145795 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568145795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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