Individual
DR. GERNIE M MOORHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1911 N FLAGLER DR, WEST PALM BEACH, FL 33407-6111
(561) 655-1104
(561) 655-3213
Mailing address
1911 N FLAGLER DR, WEST PALM BEACH, FL 33407-6111
(561) 655-1104
(561) 655-3213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5823
FL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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