DR. Hal Raymond Moore IV, DDS
NPI #1164532370 in Usaf Academy, Colorado
Provider Information
- NPI Number
- 1164532370
- Entity Type
- Individual
- Name
- DR. Hal Raymond Moore IV, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 4102 PINION DR
- Address 2
- 10TH MDG
- City
- Usaf Academy
- State
- Colorado
- ZIP Code
- 80840-2502
- Phone
- (719) 333-5192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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