Individual
DR. EMILY JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
128 HERLONG AVE S STE 120, ROCK HILL, SC 29732-1156
(803) 825-4815
Mailing address
215 PROMENADE VISTA ST APT 1104, CHARLESTON, SC 29412-5106
(803) 235-2021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9960
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2021
Last updated
06/23/2021
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