Thomas H. Moore D.d.s. Ltd

NPI #1558814897 in Rockford, Illinois

Provider Information

NPI Number: 1558814897
Entity Type: Organization
Organization Name: Thomas H. Moore D.d.s. Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 3, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 6075 VANTAGE PL
City: Rockford
State: Illinois
ZIP Code: 61107-5905
Phone: (815) 399-0677

Authorized Official

Name: DR. RYAN MOORE, D.M.D.
Title: DENTIST
Phone: (815) 399-0677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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