Organization
DWAYNE A. MOORE, DDS, PC
Active
Other names
Woodmen Views Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE A MOORE DDS (PRESIDENT)
(202) 494-5194
Entity
Organization
Contact information
Practice address
3210 E WOODMEN RD, #200, COLORADO SPRINGS, CO 80920-3588
(719) 358-6998
(719) 358-6952
Mailing address
3210 E WOODMEN RD, #200, COLORADO SPRINGS, CO 80920-3588
(719) 358-6998
(719) 358-6952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9333
CO
Other
Enumeration date
09/26/2011
Last updated
01/05/2012
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