Daisy Kit Moore, DDS PA

NPI #1437144292 in Southlake, Texas

Provider Information

NPI Number
1437144292
Entity Type
Individual
Name
Daisy Kit Moore, DDS PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS PA
Enumeration Date
Sep 16, 2005
Last Updated
Apr 9, 2014

Practice Location

Address
1101 E STATE HIGHWAY 114
Address 2
SUITE 104
State
Texas
ZIP Code
76092-5233
Phone
(817) 410-7373

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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