Organization
DAVID E MOORE DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE G JOHNSON (OFFICE CORDINATOR)
(509) 457-4532
Entity
Organization
Contact information
Practice address
11 N 11TH AVE STE 107, YAKIMA, WA 98902-3085
(509) 457-4532
(509) 453-0175
Mailing address
11 N 11TH AVE STE 107, YAKIMA, WA 98902-3085
(509) 457-4532
(509) 453-0175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60381727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029904
—
WA
Enumeration date
12/16/2015
Last updated
12/16/2015
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