| Andrea Moore Dental Corporation | |
|
1620 E 1st St Ste 200 Beaumont CA 92223-3174 | |
| (951) 800-8095 | |
| (951) 800-8095 |
| Full Name | Andrea Moore Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1620 E 1st St Ste 200, Beaumont, California |
| Authorized Official Name and Position | Andrea C Moore (OWNER DOCTOR) |
| Authorized Official Contact | 9518008095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Moore Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Andrea Moore Dental Corporation 1620 E 1st St Ste 200 Beaumont CA 92223-3174 Ph: (951) 800-8095 |
| NPI Number | 1154805117 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154805117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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