Stacey D Moore, RDH

NPI #1457837452 in Box Elder, Montana

Provider Information

NPI Number
1457837452
Entity Type
Individual
Name
Stacey D Moore, RDH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Credential
RDH
Enumeration Date
Jul 13, 2018
Last Updated
Jul 13, 2018

Practice Location

Address
6850 UPPER BOX ELDER RD
State
Montana
ZIP Code
59521-9073
Phone
(406) 395-4486

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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