Individual
DR. GUY J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
205 E HARCOURT RD, ANGOLA, IN 46703-7131
(260) 665-5767
(260) 665-8606
Mailing address
205 E HARCOURT RD, ANGOLA, IN 46703-7131
(260) 665-5767
(260) 665-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009773
IN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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