Individual
DR. JOHN W. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
509 OLIVE WAY STE 840, SEATTLE, WA 98101-1769
(206) 623-2192
(206) 623-2195
Mailing address
4263 NE 73RD ST, SEATTLE, WA 98115-6033
(206) 525-0914
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4691
WA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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