Individual
CAROLYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1769 INKSTER, GARDEN CITY, MI 48135-2499
(734) 421-4150
(734) 421-2385
Mailing address
18569 CLAIRMONT CIRCLE EAST, NORTHVILLE, MI 48168
(734) 421-4150
(734) 421-2385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1381
MI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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