Individual
DR. BENJAMIN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1596 2ND AVE NE STE A, CAMBRIDGE, MN 55008-8069
(763) 689-5699
Mailing address
14058 SILVEROD ST NW, ANDOVER, MN 55304-3667
(715) 862-2446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15062
MN
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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