Dr Tanisha R Moore Dds, INC DBA Hometown DDS

NPI #1467983205 in Springfield, Ohio

Provider Information

NPI Number: 1467983205
Entity Type: Organization
Organization Name: Dr Tanisha R Moore Dds, INC DBA Hometown DDS
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2017
Last Updated: Mar 23, 2017

Practice Location

Address: 221 E HOME RD
City: Springfield
State: Ohio
ZIP Code: 45503-2666
Phone: (937) 399-4470

Authorized Official

Name: DR. TANISHA MOORE, DDS
Title: PRESIDENT
Phone: (937) 399-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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