Individual
DR. STEPHEN PHILLIP MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
356 N ROCK RD, WICHITA, KS 67206-2200
(316) 681-3228
Mailing address
356 N ROCK RD, WICHITA, KS 67206-2200
(316) 681-3228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5156
KS
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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