Individual
WILLIAM BENNETT MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27 NORTH FEDERAL, HAMPTON, IA 50441-0416
(641) 456-3352
(641) 456-3352
Mailing address
PO BOX 416, 27 NORTH FEDERAL, HAMPTON, IA 50441-0416
(641) 456-3352
(641) 456-3352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06306
IA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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