Individual
DR. MARK PHILLIP MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2048 WINDWARD LN, GAINESVILLE, GA 30501-7418
(770) 297-7888
(770) 297-7833
Mailing address
2048 WINDWARD LN, GAINESVILLE, GA 30501-7418
(770) 297-7888
(770) 297-7833
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011706
GA
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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