Individual
DR. JANE NATHANIELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
875 UNION AVE DUNN BLDG RM 502C, MEMPHIS, TN 38163-0001
(901) 448-6930
Mailing address
875 UNION AVE DUNN BLDG RM 502C, MEMPHIS, TN 38163-6653
(901) 448-6930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11118
TN
Other
Enumeration date
07/21/2019
Last updated
04/01/2021
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