Kenneth Moore

NPI #1245889021 in Mcalester, Oklahoma

Provider Information

NPI Number
1245889021
Entity Type
Individual
Name
Kenneth Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Sep 5, 2019
Last Updated
Sep 5, 2019

Practice Location

Address
611 S GEORGE NIGH EXPY
ZIP Code
74501-7277
Phone
(918) 715-3266

Specialties & Taxonomy Codes

Specialty
Dentist

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