Individual
DONALD A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7715 OLD HAMMOND HWY, BATON ROUGE, LA 70809-1224
(225) 926-7515
Mailing address
7715 OLD HAMMOND HWY, BATON ROUGE, LA 70809-1224
(225) 926-7515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5340
LA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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