Individual
KRISTY SHEREE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8680
(314) 814-8542
Mailing address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8680
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2011015049
MO
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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