Individual
DR. DOUGLAS WILLIAM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 A AVE W, OSKALOOSA, IA 52577-0228
(641) 673-9411
(641) 673-9411
Mailing address
1011 A AVE W, OSKALOOSA, IA 52577-0228
(641) 673-9411
(641) 673-8109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07236
IA
Other
Enumeration date
12/05/2006
Last updated
05/17/2012
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