Individual
DR. THOMAS EDWARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 RANDALL SQ STE 305, PROVIDENCE, RI 02904-2774
(401) 400-4506
Mailing address
1 RANDALL SQ STE 305, PROVIDENCE, RI 02904-2774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03613
RI
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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