DR. Kelly Rae Moore, DDS

NPI #1790277416 in Mound, Minnesota

Provider Information

NPI Number: 1790277416
Entity Type: Individual
Name: DR. Kelly Rae Moore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 30, 2018
Last Updated: Apr 10, 2025

Practice Location

Address: 5205 SHORELINE DR
City: Mound
State: Minnesota
ZIP Code: 55364-1770
Phone: (952) 831-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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