Lee Eugene Moore, DDS
NPI #1093709842 in Washington, Illinois
Provider Information
- NPI Number
- 1093709842
- Entity Type
- Individual
- Name
- Lee Eugene Moore, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 106 S CUMMINGS LN
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-3442
- Phone
- (309) 444-2523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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