DR. Susanne Reynolds Moore, DMD

NPI #1801930532 in Brandon, Mississippi

Provider Information

NPI Number: 1801930532
Entity Type: Individual
Name: DR. Susanne Reynolds Moore, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1149 OLD FANNIN RD
Address 2: SUITE 26
City: Brandon
State: Mississippi
ZIP Code: 39047
Phone: (601) 992-7972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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