| NPI | 1912777483 |
|---|---|
| Doing Business As | MARK MOORE DDS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NELSON VP, Revenue Cycle 469-450-6482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |