Individual
CANDI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-0950
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-0950
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH87941
MA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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