NPI | 1194154443 |
---|---|
Doing Business As | MOORE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | WILLIAM WESLEY MOORE Owner 479-484-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AR 3043) |
Additional Taxonomies | 1223G0001X Dentist General Practice |
Enumeration Date | 2013-11-07 |
Last Update Date | 2020-11-09 |