Individual
DR. KRISTIN NICOLE MOORE
Active
Individual
DR. KRISTIN NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028048
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002474
IL
Other
Enumeration date
08/27/2013
Last updated
09/12/2022
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