Blake Moore, DDS

NPI #1255113999 in Kyle, Texas

Provider Information

NPI Number: 1255113999
Entity Type: Individual
Name: Blake Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 17, 2023
Last Updated: Oct 17, 2023

Practice Location

Address: 22510 I 35
City: Kyle
State: Texas
ZIP Code: 78640-6687
Phone: (512) 888-9340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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