Individual
SHELBY DENISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990
Mailing address
3772 VINTAGE DR, SOUTHAVEN, MS 38672-6107
(901) 828-8678
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8172
TN
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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