Individual
LOVE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Mailing address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10862
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2016
Last updated
10/29/2019
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