Welton Randolph Moore, DDS

NPI #1497870299 in Stanton, Texas

Provider Information

NPI Number: 1497870299
Entity Type: Individual
Name: Welton Randolph Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1105 W BROADWAY
City: Stanton
State: Texas
ZIP Code: 79782
Phone: (432) 756-3231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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