Moore, Dale
Moore, Dale is an sole proprietor health care provider with primary practice located at 1514 Jefferson Ave , La Grande OR 97850-2646. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Moore, Dale can be contacted via phone (541) 963-5803.Contact Information
Primary practice address
1514 Jefferson Ave
La Grande OR 97850-2646
Phone: (541) 963-5803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DT-DO-793852 | Oregon |
Profile Details
| NPI number | 1558509281 |
|---|---|
| LBN Legal business name | Moore, Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Oct 8th, 2010 - about 14 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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