Individual
NATHAN SETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2313 SANTA CLARA J1, SANTA CLARA, UT 84765-5472
(435) 652-4100
(435) 673-3978
Mailing address
2313 SANTA CLARA J1, SANTA CLARA, UT 84765-5472
(435) 652-4100
(435) 673-3978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51080169922
UT
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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