Individual
AISHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
636 CROWN POINTE LANE, SUITE 105, ROCK HILL, SC 29730-4993
(803) 329-4746
(803) 329-4748
Mailing address
636 CROWN POINTE DR, SUITE 105, ROCK HILL, SC 29730-4993
(803) 329-4746
(803) 329-4748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13812
MD
122300000X
Dentist
Primary
4665
SC
122300000X
Dentist
DEN1000593
DC
Other
Enumeration date
11/02/2009
Last updated
07/12/2010
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