Individual
DR. KELLEY NEWMAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1 ORANGE AVE, ROCKLEDGE, FL 32955-2945
(321) 632-2020
Mailing address
1 ORANGE AVE, ROCKLEDGE, FL 32955-2945
(321) 632-2020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15054
FL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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