Individual
DR. MILES CLINTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
725 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4503
(901) 761-2210
(901) 763-1092
Mailing address
725 W. BROOKHAVEN CR., MEMPHIS, TN 38117
(901) 761-2210
(901) 763-1092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9489
TN
Other
Enumeration date
06/15/2012
Last updated
10/05/2016
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