Moore, Brenda

Moore, Brenda is an individual health care provider with primary practice located at 7223 Mississippi Ave Building 2157 , Fort Polk LA 71459. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Moore, Brenda can be contacted via phone (337) 531-4854.

Contact Information

Primary practice address
7223 Mississippi Ave Building 2157 Fort Polk LA 71459
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DENH966 Alaska

Profile Details

NPI number 1952806986
LBN Legal business name Moore, Brenda
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Mar 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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