Individual
MRS. DESIREE LENEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1724 NEBRASKA AVE, BLDG 1608, FORT LEONARD WOOD, MO 65473-8939
(573) 596-0388
(573) 596-0410
Mailing address
6962 TYLERSVILLE RD, WEST CHESTER, OH 45069
(513) 779-9800
(513) 779-8845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023058
OH
Other
Enumeration date
08/04/2009
Last updated
07/03/2013
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