Dale Moore is a Denturist based in La Grande, OR. Dale Moore practices in La Grande, OR. The NPI Number for Dale Moore is 1558509281 and holds a License No. DT-DO-793852 (Oregon).
The current practice location address for Dale Moore is 1514 Jefferson Ave, La Grande, OR and can be reached out via phone at 541-963-5803.
Location: 1514 Jefferson Ave, La Grande, OR, 97850-2646
Provider Profile Details
NPI Number
1558509281
Provider Name
Dale Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1514 Jefferson Ave, La Grande, OR, 97850-2646
Phone Number
541-963-5803
Fax Number
Provider Enumeration Date
02/03/2009
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1514 Jefferson Ave
City
State
Zip
97850-2646
Phone Number
541-963-5803
Fax Number
Provider Business Mailing Address Details
Address
1514 Jefferson Ave
City
State
Zip
97850-2646
Phone Number
541-963-5803
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DT-DO-793852 (Oregon)
Definition
Definition to come.
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