Individual
RODNEY J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17605 CROSSING DR E, PUYALLUP, WA 98374-9811
(206) 323-5677
Mailing address
17605 CROSSING DR E, PUYALLUP, WA 98374-9811
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60772259
WA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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