Individual
DR. KIMBERLY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
8248 PLANTATION MANOR BUILDING 53 PAPAYA, ST. THOMAS, VI 00802
(561) 346-1027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
917
VI
Other
Enumeration date
12/27/2007
Last updated
03/21/2019
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