Individual
MARGARET GRAHAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
900 PROFESSIONAL DR, WARNER ROBINS, GA 31088-0520
(478) 333-3636
(478) 333-6399
Mailing address
223 OBERON LN, MACON, GA 31210-3097
(478) 333-3636
(478) 333-6399
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494727658A
—
GA
Enumeration date
07/26/2006
Last updated
03/09/2010
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