Moorse Dental Psc

NPI #1073594891 in Olivia, Minnesota

Provider Information

NPI Number: 1073594891
Entity Type: Organization
Organization Name: Moorse Dental Psc
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2005
Last Updated: Nov 24, 2009

Practice Location

Address: 907 W LINCOLN AVE
City: Olivia
State: Minnesota
ZIP Code: 56277-4215
Phone: (320) 523-1441

Authorized Official

Name: MARK JOSEPH MOORSE, DDS
Title: PRESIDENT
Phone: (320) 523-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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