DR. Michael Gerald Moore, DDS

NPI #1780733907 in Webster, Texas

Provider Information

NPI Number: 1780733907
Entity Type: Individual
Name: DR. Michael Gerald Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13810 JOHN AUDUBON PKWY
Address 2: SUITE A
City: Webster
State: Texas
ZIP Code: 77598
Phone: (281) 486-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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