Dr Kyle R Moore DDS

NPI #1346400512 in Wynnewood, Oklahoma

Provider Information

NPI Number: 1346400512
Entity Type: Organization
Organization Name: Dr Kyle R Moore DDS
Primary Specialty: Dentist
Enumeration Date: Jun 11, 2008
Last Updated: Jul 21, 2022

Practice Location

Address: 101 JAMESON DRIVE
City: Wynnewood
State: Oklahoma
ZIP Code: 73098
Phone: (405) 665-2041

Authorized Official

Name: DR. KYLE RICHARD MOORE, DDS
Title: DR
Phone: (405) 665-2041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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