Individual
GEORGE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.C.
Contact information
Practice address
80 SOLDIERS PASS RD, SEDONA, AZ 86336-4782
(928) 282-7871
(928) 282-6470
Mailing address
80 SOLDIERS PASS RD, SEDONA, AZ 86336-4782
(928) 282-7871
(928) 282-6470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ2205
AZ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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