Individual
DR. GREGORY BARDIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
595 CHAPEL HILLS DR., SUITE 105, COLORADO SPRINGS, CO 80920
(719) 475-2511
Mailing address
595 CHAPEL HILLS DR., SUITE 105, COLORADO SPRINGS, CO 80920
(719) 475-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106234
CO
Other
Enumeration date
07/14/2006
Last updated
01/16/2019
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