Individual
DR. PETER STEVEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7555 CENTER VIEW CT, #103, WEST JORDAN, UT 84084-1970
(801) 748-4151
(801) 748-0307
Mailing address
11426 GADZOOKS DR, SANDY, UT 84094-6912
(801) 545-0114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
993750899922
UT
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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