Dr. L.j. Moore DDS PC

NPI #1043615669 in Chicago, Illinois

Provider Information

NPI Number
1043615669
Entity Type
Organization
Organization Name
Dr. L.j. Moore DDS PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 24, 2014
Last Updated
Oct 24, 2014

Practice Location

Address
2407 W 104TH ST
ZIP Code
60655-1006
Phone
(773) 779-8900

Authorized Official

Name
DR. LEE JOSEPH MOORE, D.D.S
Title
DENTIST/OWNER
Phone
(773) 779-8900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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