Individual
GORDON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5498 POPLUR AVE, SUITE C1, MEMPHIS, TN 38119
(901) 682-9631
(901) 682-9631
Mailing address
5498 POPLUR AVE, SUITE C1, MEMPHIS, TN 38119
(901) 682-9631
(901) 682-9631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3471
TN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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