DR. Charles Andrew Moore, DMD

NPI #1245302918 in Stone Mountain, Georgia

Provider Information

NPI Number
1245302918
Entity Type
Individual
Name
DR. Charles Andrew Moore, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Nov 15, 2006
Last Updated
Oct 27, 2008

Practice Location

Address
5462 MEMORIAL DR
State
Georgia
ZIP Code
30083-3239
Phone
(404) 299-0022

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