Individual
DR. JEREMY EMMETT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8254 ONE CALAIS AVE, SUITE 100, BATON ROUGE, LA 70809-3450
(225) 769-3337
(225) 769-3356
Mailing address
8254 ONE CALAIS AVE, SUITE 100, BATON ROUGE, LA 70809-3450
(225) 769-3337
(225) 769-3356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5491
LA
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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