DR. Alfred P Moore, DENTIST

NPI #1013154673 in Poquoson, Virginia

Provider Information

NPI Number: 1013154673
Entity Type: Individual
Name: DR. Alfred P Moore, DENTIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DENTIST
Enumeration Date: Jan 19, 2009
Last Updated: Jan 19, 2009

Practice Location

Address: 235 WYTHE CREEK RD
City: Poquoson
State: Virginia
ZIP Code: 23662-1911
Phone: (757) 868-8152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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