Individual
DR. JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1470 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4600
(434) 817-1817
Mailing address
1470 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4600
(434) 817-1817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414088
VA
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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