Moore Family Dental LLC

NPI #1568145795 in Moore, Oklahoma

Provider Information

NPI Number: 1568145795
Entity Type: Organization
Organization Name: Moore Family Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 3001 S TELEPHONE RD
City: Moore
State: Oklahoma
ZIP Code: 73160-2942
Phone: (405) 206-8090

Authorized Official

Name: DR. LOREN P ISRAELSEN
Title: OWNER
Phone: (361) 405-9080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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