Individual
DR. WILLIAM J MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3024 OLIVE STREET, PINE BLUFF, AR 71603
(870) 536-2650
Mailing address
3024 OLIVE STREET, PINE BLUFF, AR 71603
(870) 536-2650
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2165
AR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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