Duane Stephen Moore, DENTIST

NPI #1467587329 in Shelton, Washington

Provider Information

NPI Number
1467587329
Entity Type
Individual
Name
Duane Stephen Moore, DENTIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DENTIST
Enumeration Date
Feb 22, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
2026 OLYMPIC HWY N
Address 2
SUITE 101
ZIP Code
98584-4156
Phone
(360) 432-8379

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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