Individual
DR. STEPHEN DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8409 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-7638
(702) 254-6700
Mailing address
8409 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-7638
(702) 254-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3364
NV
122300000X
Dentist
3416
AZ
122300000X
Dentist
35300
CA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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