Moore Care Providers
NPI #1669723136 in Northridge, California
Provider Information
- NPI Number
- 1669723136
- Entity Type
- Organization
- Organization Name
- Moore Care Providers
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 8860 CORBIN AVE
- Address 2
- STE 386
- City
- Northridge
- State
- California
- ZIP Code
- 91324-3309
- Phone
- (818) 428-9257
Authorized Official
- Name
- GIRARD G BRENNEMAN
- Title
- CEO
- Phone
- (818) 428-9257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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