Daisy Kit Moore, DDSPA
Daisy Kit Moore, DDSPA is a General Practice Dentistry in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
Practice location Address checks out
1101 E State Highway 114 Ste 104Southlake, TX 76092-5233
Phone: (817) 410-7373
Fax: (817) 416-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 17839 (TX) |
|---|
Record details
| NPI number | 1437144292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DDSPA |
| Sole proprietor | No |
| NPI enumerated | September 16, 2005 |
| Last updated in NPPES | April 9, 2014 |
| Mailing address | 1101 E State Highway 114, Suite 104, Southlake, TX 76092-5233 |
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