Individual
SHIRLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5095 RIFLE RIVER TRL, ALGER, MI 48610-9327
(989) 873-5152
(989) 873-5913
Mailing address
241 E ANDREWS RD, AU GRES, MI 48703-9682
(989) 876-4040
(989) 654-2348
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016066
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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