Michele Moore

NPI #1114139961 in Universal City, Texas

Provider Information

NPI Number: 1114139961
Entity Type: Individual
Name: Michele Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1702 PAT BOOKER RD
City: Universal City
State: Texas
ZIP Code: 78148-3435
Phone: (210) 658-7511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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