DR. Clarissa M Moore, DDS

NPI #1578726279 in Gainesville, Virginia

Provider Information

NPI Number: 1578726279
Entity Type: Individual
Name: DR. Clarissa M Moore, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 3, 2008
Last Updated: Dec 16, 2013

Practice Location

Address: 13922 ESTATE MANOR DR
City: Gainesville
State: Virginia
ZIP Code: 20155-5951
Phone: (703) 754-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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