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1235307828
MANDIE SHEA MOON DORE
COPPELL, TX
NPI
1235307828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TX 13777)
Enumeration Date
2008-02-15
Last Update Date
2008-02-15
Business Address
Ms. MANDIE SHEA MOON DORE RDH,BS
120 S DENTON TAP RD
COPPELL, TX 75019-3297
Phone number: 469-635-1105
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Mailing Address
Ms. MANDIE SHEA MOON DORE RDH,BS
120 S DENTON TAP RD
COPPELL, TX 75019-3297
Phone number: 469-635-1105
Copy
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