Individual
MR. JAMES BAKER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 N 7TH ST, STE A, GRAND JUNCTION, CO 81501
(970) 242-9404
(970) 243-2727
Mailing address
1301 N 7TH ST, STE A, GRAND JUNCTION, CO 81501
(970) 242-9404
(970) 243-2727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104976
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104976
LICENSE
—
Enumeration date
04/02/2007
Last updated
07/08/2007
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