| NPI | 1821008178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT E MOORE Oral & Maxillofacial Surgeon 704-358-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5366) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-07-31 |