NPI 1952806986

Brenda Moore, RDH

Practitioner Dental Hygienist Fort Polk, LA

Practice location

Address: 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459
Phone: (337) 531-4854
Mailing address: 360 Fairway CT, Fort Polk, LA 71459-3121

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DENH966 (AK)

Other Dental Hygienist providers in Louisiana →

Registry record

NPI: 1952806986
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2018
Record last updated: 30 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.