Robert L Moore DDS

NPI #1104083740 in Stillwater, Oklahoma

Provider Information

NPI Number: 1104083740
Entity Type: Organization
Organization Name: Robert L Moore DDS
Primary Specialty: Dentist
Enumeration Date: May 21, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 1717 W 6TH AVE
City: Stillwater
State: Oklahoma
ZIP Code: 74074
Phone: (405) 624-8955

Authorized Official

Name: DR. ROBERT L MOORE, DDS
Title: DENTIST OWNER
Phone: (405) 624-8955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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