Individual
ALEXANDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3844
Mailing address
4144 STARGRASS CT, HILLIARD, OH 43026-3018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25446
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
10/01/2018
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