Individual
DR. MADISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4600 JOHN MARR DR STE 401, ANNANDALE, VA 22003-3310
(703) 750-9393
Mailing address
2803 SHERMAN AVE NW UNIT 1, WASHINGTON, DC 20001-3921
(773) 816-9877
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401418519
VA
Other
Enumeration date
04/07/2023
Last updated
08/19/2025
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