R Dan Moore DDS MD Oral and Facial Surgery

NPI #1609001676 in Bangor, Maine

Provider Information

NPI Number
1609001676
Entity Type
Organization
Organization Name
R Dan Moore DDS MD Oral and Facial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 20, 2009
Last Updated
Jul 30, 2009

Practice Location

Address
24 PENN PLZ
City
Bangor
State
Maine
ZIP Code
04401-3620
Phone
(207) 947-6146

Authorized Official

Name
DR. ROBERT DAN MOORE, MD, DDS
Title
DOCTOR
Phone
(207) 947-6146

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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