Individual
DR. TERRY L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
500 BOYD COURT, COLLEYVILLE, TX 76020
(817) 270-2177
(817) 270-2174
Mailing address
500 BOYD COURT, AZLE, TX 76020
(817) 270-2177
(817) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11563
TX
Other
Enumeration date
03/21/2007
Last updated
09/06/2012
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