Organization
TRAVIS R. MOORE, D.M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS RANDALL MOORE D.M.D. (DOCTOR/OWNER)
(910) 763-0355
Entity
Organization
Contact information
Practice address
2210 WRIGHTSVILLE AVE STE 5, WILMINGTON, NC 28403-2575
(910) 763-0355
Mailing address
2210 WRIGHTSVILLE AVE STE 5, WILMINGTON, NC 28403-2575
(910) 763-0355
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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