Thomas H. Moore DDS Ltd

NPI #1639202914 in Rockford, Illinois

Provider Information

NPI Number
1639202914
Entity Type
Organization
Organization Name
Thomas H. Moore DDS Ltd
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6075 VANTAGE PL
ZIP Code
61107-5905
Phone
(815) 399-0677

Authorized Official

Name
DR. RYAN THOMAS MOORE, D.D.S.
Title
PRESIDENT
Phone
(815) 399-0677

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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