DR. Mindy Michelle Moore, D.D.S.

NPI #1073722419 in Denham Springs, Louisiana

Provider Information

NPI Number: 1073722419
Entity Type: Individual
Name: DR. Mindy Michelle Moore, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 22, 2007
Last Updated: Oct 29, 2014

Practice Location

Address: 140 VETERANS BLVD
City: Denham Springs
State: Louisiana
ZIP Code: 70726-5100
Phone: (225) 667-0037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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