Individual
LEE EUGENE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 S CUMMINGS LN, WASHINGTON, IL 61571-3442
(309) 444-2523
(309) 444-7223
Mailing address
106 S CUMMINGS LN, WASHINGTON, IL 61571-3442
(309) 444-2523
(309) 444-7223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/08/2005
Last updated
07/08/2007
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