Individual
DR. LINDSAY DEANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12889 QUEBEC ST, THORNTON, CO 80602-9623
(720) 726-6830
Mailing address
12889 QUEBEC ST, THORNTON, CO 80602-9623
(720) 726-6830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6534
LA
1223G0001X
General Practice Dentistry
DEN.00202969
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
08/11/2016
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