Individual
KYRSLYNE MOORE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23678 US HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
Mailing address
23678 US HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6233
AL
1223G0001X
General Practice Dentistry
DN014602
GA
Other
Enumeration date
07/05/2013
Last updated
11/15/2016
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