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1164430211
STEPHEN CHARLES MORAN
ROSWELL, NM
NPI
1164430211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM NM 1360)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN CHARLES MORAN DDS
317 W COUNTRY CLUB RD
ROSWELL, NM 88201-5892
Phone number: 505-624-0636
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Mailing Address
Dr. STEPHEN CHARLES MORAN DDS
317 W COUNTRY CLUB RD
ROSWELL, NM 88201-5892
Phone number: 505-624-0636
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