MRS. Brenda Moore, RDH

NPI #1952806986 in Fort Polk, Louisiana

Provider Information

NPI Number: 1952806986
Entity Type: Individual
Name: MRS. Brenda Moore, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 30, 2018
Last Updated: Mar 30, 2018

Practice Location

Address: 7223 MISSISSIPPI AVE BUILDING 2157
City: Fort Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-4854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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