Individual
DR. W WESLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2913 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 484-5050
(479) 484-5052
Mailing address
2913 S 74TH ST, FORT SMITH, AR 72903-5156
(479) 484-5050
(479) 484-5052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3043
AR
Other
Enumeration date
05/01/2006
Last updated
09/30/2013
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