Candi Moore, RDH

NPI #1093112674 in Roxbury, Massachusetts

Provider Information

NPI Number: 1093112674
Entity Type: Individual
Name: Candi Moore, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 26, 2014
Last Updated: Nov 26, 2014

Practice Location

Address: 55 DIMOCK ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-1029
Phone: (617) 442-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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