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Organization
THOMAS H. MOORE DDS LTD
Active
Organization
THOMAS H. MOORE DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN THOMAS MOORE D.D.S. (PRESIDENT)
(815) 399-0677
Entity
Organization
Contact information
Practice address
6075 VANTAGE PL, ROCKFORD, IL 61107-5905
(815) 399-0677
Mailing address
4298 WINDSWEPT WAY, LOVES PARK, IL 61111-8654
(815) 636-6673
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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