Individual
MICHELE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3435
(210) 658-7511
Mailing address
1702 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3435
(210) 658-7511
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7775
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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