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Brenda Moore, RDH — NPI 1952806986, Fort Polk, LA | NPI Central

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Brenda Moore, RDH

NPI 1952806986 · Dental Hygienist · Fort Polk, LA

Provider details

NPI number: 1952806986
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: No
License: DENH966 (AK)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense DENH966 (AK)
Dental Providers

Practice location

7223 Mississippi Ave Building 2157

Fort Polk, LA 71459

Phone: (337) 531-4854

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

360 Fairway Ct

Fort Polk, LA 71459-3121

Registry dates

Enumerated: 2018-03-30
Last updated: 2018-03-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.