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Daisy Kit Moore, DDSPA
General Practice Dentistry in Southlake, Texas
NPI 1437144292

Daisy Kit Moore is a General Practice Dentistry based in Southlake, TX and is specialized in General Practice. Daisy Kit Moore practices in Southlake, TX and has the professional credentials of DDSPA. The NPI Number for Daisy Kit Moore is 1437144292 and holds a License No. 17839 (Texas).

The current practice location address for Daisy Kit Moore is 1101 E State Highway 114, Southlake, TX and can be reached out via phone at 817-410-7373 and via fax at 817-416-9383.

Location: 1101 E State Highway 114, Southlake, TX, 76092-5233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437144292
Provider Name
Daisy Kit Moore
Credential
DDSPA
Provider Entity Type
Individual
Gender
Female
Address
1101 E State Highway 114, Southlake, TX, 76092-5233
Phone Number
817-410-7373
Fax Number
817-416-9383
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1101 E State Highway 114
City
Southlake
State
Texas
Zip
76092-5233
Phone Number
817-410-7373
Fax Number
817-416-9383
person
Provider Business Mailing Address Details
Address
1101 E State Highway 114
City
Southlake
State
Texas
Zip
76092-5233
Phone Number
817-410-7373
Fax Number
817-416-9383
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
17839 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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