Individual
DR. BRENDA LESIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
908 34TH AVE. N., A, NASHVILLE, TN 37209-2502
(615) 327-4499
(615) 327-0546
Mailing address
908 34TH AVE. N., A, NASHVILLE, TN 37209-2502
(615) 327-4499
(615) 327-0546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8455
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440336
—
TN
Enumeration date
01/31/2007
Last updated
07/09/2007
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