Individual
DR. WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2730 SW MOODY AVE, SCHOOL OF DENTISTRY, PORTLAND, OR 97201-5042
(503) 418-4333
Mailing address
2730 SW MOODY AVE, SCHOOL OF DENTISTRY, PORTLAND, OR 97201-5042
(503) 418-4333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10014
OR
Other
Enumeration date
04/07/2012
Last updated
08/28/2014
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