Individual
DR. KERRY D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31 NORTH PLAZA BLVD, CHILLICOTHE, OH 45601
(740) 774-6230
Mailing address
31 NORTH PLAZA BLVD, CHILLICOTHE, OH 45601
(740) 774-6230
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
015786
OH
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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