Organization
JOHN W. MOORE DDS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ESTHER STORLIE (MANAGER)
(608) 782-7374
Entity
Organization
Contact information
Practice address
1630 LOSEY BLVD S, LA CROSSE, WI 54601-6104
(608) 782-7374
(608) 782-4111
Mailing address
1630 LOSEY BLVD S, LA CROSSE, WI 54601-6104
(608) 782-7374
(608) 782-7374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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