Individual
DR. THOMAS E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13013 FULLER AVE, SUITE B, GRANDVIEW, MO 64030-2619
(816) 966-0788
(816) 966-1077
Mailing address
13013 FULLER AVE, SUITE B, GRANDVIEW, MO 64030-2619
(816) 966-0788
(816) 966-1077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014762
MO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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