Individual
RANDI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
1741 SILO HILL LN, BREINIGSVILLE, PA 18031-1151
(484) 823-7768
Mailing address
1741 SILO HILL LN, BREINIGSVILLE, PA 18031-1151
(484) 823-7768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001181
PA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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