Individual
DR. SEAN ALEXANDER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8310 PALOMAS AVE NE STE A, ALBUQUERQUE, NM 87109-5286
(505) 293-6125
(505) 293-6130
Mailing address
7324 ANTON CIR NE, ALBUQUERQUE, NM 87122-3379
(505) 554-0939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2023-0095
NM
Other
Enumeration date
04/03/2023
Last updated
06/27/2024
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