Organization
GARY MOORE DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MOORE DDS (DDS)
(719) 694-0400
Entity
Organization
Contact information
Practice address
5910 STETSON HILLS BLVD STE 110, COLORADO SPRINGS, CO 80923-3580
(719) 694-0400
(719) 694-0240
Mailing address
5910 STETSON HILLS BLVD STE 110, COLORADO SPRINGS, CO 80923-3580
(719) 694-0400
(719) 694-0240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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