Organization
DR TANISHA R MOORE DDS, INC DBA HOMETOWN DDS
Active
Other names
Hometown DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANISHA MOORE DDS (PRESIDENT)
(937) 399-4470
Entity
Organization
Contact information
Practice address
221 E HOME RD, SPRINGFIELD, OH 45503-2666
(937) 399-4470
Mailing address
221 E HOME RD, SPRINGFIELD, OH 45503-2666
(937) 399-4470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023622
OH
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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