Individual
DR. ALECIA A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
97 HAL CROCKER RD, ELLISVILLE, MS 39437-2088
(601) 477-3779
Mailing address
107 N VAN BUREN ST, CARTHAGE, MS 39051-4160
(601) 267-3722
(601) 267-0338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3638-12
MS
Other
Enumeration date
06/13/2012
Last updated
07/03/2015
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