Individual
RONDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-7631
Mailing address
PO BOX 100426, GAINESVILLE, FL 32610-0426
(352) 273-7631
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1080
FL
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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