Individual
MICHAEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH, LAP
Contact information
Practice address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3168
Mailing address
1112 6TH ST, HAVRE, MT 59501-4119
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11523
MT
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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