Organization
RANDOLPH S MOORE DMD PC
Active
Other names
SMILE MORE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONDOLPH S MOORE DMD (OWNER)
(770) 945-5369
Entity
Organization
Contact information
Practice address
4470 COMMERCE DR, SUITE B, BUFORD, GA 30518-7510
(770) 945-5368
(770) 945-2896
Mailing address
4470 COMMERCE DR, SUITE B, BUFORD, GA 30518-7510
(770) 945-5368
(770) 945-2896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011288
GA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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