Organization
RANDALL A. MOORE, DMD,PC
Active
Organization
RANDALL A. MOORE, DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL A. MOORE DMD (OWNER)
(914) 769-2626
Entity
Organization
Contact information
Practice address
351 MANVILLE RD, PLEASANTVILLE, NY 10570-2152
(914) 769-2626
Mailing address
351 MANVILLE RD, PLEASANTVILLE, NY 10570-2152
(914) 769-2626
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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