DR. Randolph S. Moore, D.M.D.

NPI #1528118429 in Buford, Georgia

Provider Information

NPI Number
1528118429
Entity Type
Individual
Name
DR. Randolph S. Moore, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4470 COMMERCE DR STE B
City
Buford
State
Georgia
ZIP Code
30518-7510
Phone
(770) 945-5369

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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