Individual
THERESA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1250 S PARKER RD STE 102, DENVER, CO 80231-2178
(303) 755-6341
(303) 873-9886
Mailing address
1250 S PARKER RD STE 102, DENVER, CO 80231-2178
(303) 755-6341
(303) 873-9886
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000201990
CO
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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