Individual
DR. MINDY MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
140 VETERANS BLVD, DENHAM SPRINGS, LA 70726-5100
(225) 667-0037
(225) 667-0038
Mailing address
140 VETERANS BLVD, DENHAM SPRINGS, LA 70726-5100
(225) 667-0037
(225) 667-0038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5813
LA
Other
Enumeration date
05/22/2007
Last updated
10/29/2014
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