Individual
DR. EDWARD L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
533 RIPLEY ROAD, SPENCER, WV 25276
(304) 927-3550
(304) 927-3566
Mailing address
PO BOX 279, SPENCER, WV 25276-0279
(304) 927-3550
(304) 927-3566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2515
WV
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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