Individual
DR. KEVIN LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
160 S 2ND AVE, SUITE B, CLARION, PA 16214-2444
(814) 226-6321
(814) 226-6353
Mailing address
160 S 2ND AVE, SUITE B, CLARION, PA 16214-2444
(814) 226-6321
(814) 226-6353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-022522-L
PA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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