Individual
DR. JULIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3912 E 10TH ST, GREENVILLE, NC 27858-8798
(301) 774-2683
Mailing address
3416 OLANDWOOD CT, OLNEY, MD 20832-1372
(301) 774-2683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12331
NC
1223G0001X
General Practice Dentistry
13120
MD
Other
Enumeration date
03/17/2009
Last updated
02/28/2022
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