Organization
GREGORY B. MOORE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BARDIN MOORE DDS (PRESIDENT)
(719) 633-4028
Entity
Organization
Contact information
Practice address
559 E PIKES PEAK AVE, SUITE 319, COLORADO SPRINGS, CO 80903-3651
(719) 633-4028
(719) 633-7890
Mailing address
559 E PIKES PEAK AVE, SUITE 319, COLORADO SPRINGS, CO 80903-3651
(719) 633-4028
(719) 633-7890
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
106234
CO
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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