Douglas W Moore DDS PC

NPI #1922169275 in Oskaloosa, Iowa

Provider Information

NPI Number: 1922169275
Entity Type: Organization
Organization Name: Douglas W Moore DDS PC
Primary Specialty: Dentist
Enumeration Date: Dec 12, 2006
Last Updated: Mar 5, 2012

Practice Location

Address: 1011 A AVE W
City: Oskaloosa
State: Iowa
ZIP Code: 52577
Phone: (641) 673-9411

Authorized Official

Name: DR. DOUGLAS W MOORE, DDS
Title: PRESIDENT OWNER
Phone: (641) 673-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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