Stephen M Moore

NPI #1033233705 in Appleton, Wisconsin

Provider Information

NPI Number: 1033233705
Entity Type: Individual
Name: Stephen M Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 381 S KOOLS ST
City: Appleton
State: Wisconsin
ZIP Code: 54914-3932
Phone: (920) 996-0123

Specialties & Taxonomy Codes

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

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