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1992923866
TERRY L MOE
FARGO, ND
NPI
1992923866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ND 1764)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- TERRY L MOE D.D.S.
118 BROADWAY N STE 708
FARGO, ND 58102-4948
Phone number: 701-232-8314
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Mailing Address
-- TERRY L MOE D.D.S.
118 BROADWAY N STE 708
FARGO, ND 58102-4948
Phone number: 701-232-8314
Copy
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