DR. Regan L Moore, DDS
NPI #1093853095 in Louisville, Kentucky
Provider Information
- NPI Number
- 1093853095
- Entity Type
- Individual
- Name
- DR. Regan L Moore, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 501 S PRESTON ST
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40292-0001
- Phone
- (502) 852-5128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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