Individual
DR. GREGORY CARL MOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 TIMBER HILLS DR, DELAND, FL 32724-7978
(386) 334-4074
(386) 736-0111
Mailing address
1601 TIMBER HILLS DR, DELAND, FL 32724-7978
(386) 334-4074
(386) 736-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007496
IN
122300000X
Dentist
Primary
DN9681
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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