Individual
DR. TIMOTHY JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2603 CROSBY AVE, SUITE A, KLAMATH FALLS, OR 97603-5776
(541) 273-6100
(541) 273-6107
Mailing address
2603 CROSBY AVE, SUITE A, KLAMATH FALLS, OR 97603-5776
(541) 273-6100
(541) 273-6107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8207
OR
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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