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Individual

BRANDON LEE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2323 S WADSWORTH BLVD STE 1778, LAKEWOOD, CO 80227-3274
(303) 355-8670
Mailing address
9568 CASTLE RIDGE CIR, HIGHLANDS RANCH, CO 80129-5701
(720) 436-7829

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204194
CO

Other

Enumeration date
10/18/2019
Last updated
07/31/2023
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