Individual
DESIREA SCOTT-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2310 E HARMONY RD STE 103, FORT COLLINS, CO 80528-3427
(970) 282-8877
Mailing address
2310 E HARMONY RD STE 103, FORT COLLINS, CO 80528-3427
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30025553
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN.00203818
CO
Other
Enumeration date
08/28/2018
Last updated
12/22/2020
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