DR. Russell Ernest Moore, D.M.D
NPI #1578525184 in Johnstown, Pennsylvania
Provider Information
- NPI Number
- 1578525184
- Entity Type
- Individual
- Name
- DR. Russell Ernest Moore, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Apr 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 111 INDUSTRIAL PARK RD
- City
- Johnstown
- State
- Pennsylvania
- ZIP Code
- 15904-1940
- Phone
- (814) 266-3151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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