DR. Jacob Gordon Moore, DDS

NPI #1124382957 in Waco, Texas

Provider Information

NPI Number: 1124382957
Entity Type: Individual
Name: DR. Jacob Gordon Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 10104 SADDLE CREEK RD
City: Waco
State: Texas
ZIP Code: 76708-7290
Phone: (254) 836-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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