Individual
DR. HAL RAYMOND MOORE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4102 PINION DR, 10TH MDG, USAF ACADEMY, CO 80840-2502
(719) 333-5192
(719) 333-5633
Mailing address
4102 PINION DR, 10TH MDG, USAF ACADEMY, CO 80840-2502
(719) 333-5192
(719) 333-5633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10730
TX
Other
Enumeration date
08/30/2006
Last updated
12/17/2008
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