Individual
DR. ALFRED P MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
235 WYTHE CREEK RD, POQUOSON, VA 23662-1911
(757) 868-8152
(757) 868-4507
Mailing address
235 WYTHE CREEK RD, POQUOSON, VA 23662-1911
(757) 868-8152
(757) 868-4507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004269
VA
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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