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
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-3239
- Phone
- (404) 299-0022
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