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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