Organization
FREDRIC A MOORE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC A MOORE DMD (PRESIDENT)
(770) 456-2550
Entity
Organization
Contact information
Practice address
514 W BANKHEAD HWY, SUITE 600, VILLA RICA, GA 30180-1736
(770) 456-2550
(770) 456-7680
Mailing address
514 W BANKHEAD HWY, SUITE 600, VILLA RICA, GA 30180-1736
(770) 456-2550
(770) 456-7680
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10414
GA
Other
Enumeration date
05/23/2007
Last updated
01/23/2015
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