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Stephen Moran, DDS
NPI 1164430211 · on the registry since 2006 · sole proprietor
Practice
- Address
- 317 W Country Club Rd
Roswell, NM 88201 - Phone
- (505) 624-0636
- Fax
- (505) 625-2845
- Organisation at this address
- Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico