Organization
R DAN MOORE DDS MD ORAL AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAN MOORE MD, DDS (DOCTOR)
(207) 947-6146
Entity
Organization
Contact information
Practice address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 947-6146
(207) 947-5237
Mailing address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 947-6146
(207) 947-5237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3658
ME
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3658
ME
Other
Enumeration date
05/20/2009
Last updated
07/30/2009
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