DR. Rex Dale Moore, DDS

NPI #1669468344 in Bloomington, Illinois

Provider Information

NPI Number
1669468344
Entity Type
Individual
Name
DR. Rex Dale Moore, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 27, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2103 E WASHINGTON ST
Address 2
STE 3E
ZIP Code
61701-4310
Phone
(309) 662-3123

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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