Individual
DR. STEVEN MICHAEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
230 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 857-2258
(303) 857-9884
Mailing address
230 PARK AVE, FORT LUPTON, CO 80621-1928
(303) 857-2258
(303) 857-9884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H105603
CO
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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