Individual
DR. LAURA ELISABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1524 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6565
(417) 888-3030
Mailing address
3551 E WOODSIDE ST, SPRINGFIELD, MO 65809-4206
(417) 268-8662
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2019040745
MO
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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