Individual
STEVE A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
960 A LAKES PKWY, LAWRENCEVILLE, GA 30043
(770) 513-4555
(770) 513-2311
Mailing address
960 A LAKES PKWY, LAWRENCEVILLE, GA 30043
(770) 513-4555
(770) 513-2311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00324409B
—
GA
Enumeration date
05/05/2006
Last updated
07/08/2007
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