Individual
DR. DON S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1646 SW DASH POINT RD, FEDERAL WAY, WA 98023-4566
(253) 815-9560
(253) 815-9580
Mailing address
1646 SW DASH POINT RD, FEDERAL WAY, WA 98023-4566
(253) 815-9560
(253) 815-9580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386104
UNITED CONCORDIA ID NUMBE
WA
Enumeration date
04/13/2006
Last updated
08/14/2007
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