DR. Mitch Moore, DDS

NPI #1558472753 in West Lake Hills, Texas

Provider Information

NPI Number: 1558472753
Entity Type: Individual
Name: DR. Mitch Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5656 BEE CAVE RD STE B100
City: West Lake Hills
State: Texas
ZIP Code: 78746-5281
Phone: (512) 328-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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