Individual
DR. DAVID M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3720 HARDY ST, ST 23, HATTIESBURG, MS 39402-1550
(601) 630-7388
Mailing address
3720 HARDY ST, ST 23, HATTIESBURG, MS 39402-1550
(601) 630-7388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3378-06
MS
1223G0001X
General Practice Dentistry
4339
AR
Other
Enumeration date
05/24/2007
Last updated
03/26/2019
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