Individual
JAMES H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 2ND AVE NO, PAYETTE, ID 83661
(208) 642-4782
(208) 642-1748
Mailing address
925 2ND AVE NO, PAYETTE, ID 83661
(208) 642-4782
(208) 642-1748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3950
ID
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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