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Organization
THOMAS H. MOORE D.D.S. LTD
Active
Organization
THOMAS H. MOORE D.D.S. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MOORE D.M.D. (DENTIST)
(815) 399-0677
Entity
Organization
Contact information
Practice address
6075 VANTAGE PL, ROCKFORD, IL 61107-5905
(815) 399-0677
(815) 986-1352
Mailing address
6075 VANTAGE PL, ROCKFORD, IL 61107-5905
(815) 399-0677
(815) 986-1352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030757
IL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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