Individual
DR. BARBARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3674 COMMERCE PL, HAMBURG, NY 14075-3664
(716) 362-3147
Mailing address
3674 COMMERCE PL, HAMBURG, NY 14075-3664
(716) 362-3147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01754916
—
NY
01
—
168-7340
UNITED CONCORDIA
NY
01
—
409-2400
INDEPENDENT HEALTH
NY
Enumeration date
12/22/2014
Last updated
12/22/2014
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