Individual
DAVID E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
(509) 457-4532
(509) 457-0175
Mailing address
719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
(509) 457-4532
(509) 457-0175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60381727
WA
Other
Enumeration date
07/25/2013
Last updated
09/30/2021
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