Organization
KRISTIN N. MOORE, D.M.D., M.S., P.C.
Active
Organization
KRISTIN N. MOORE, D.M.D., M.S., P.C.
Active
Other names
Moore Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN MOORE (MANAGER/OWNER)
(847) 401-3283
Entity
Organization
Contact information
Practice address
900 WEST IL ROUTE 22, SUITE 170, LAKE ZURICH, IL 60047
(847) 438-9090
Mailing address
900 WEST ROUTE 22, SUITE 170, LAKE ZURICH, IL 60047
(847) 438-9090
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639503519
NPI
IL
Enumeration date
01/22/2015
Last updated
01/22/2015
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