Individual
DR. ANNE MOE WILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
114 4TH ST, TIPTON, IN 46072-1851
(765) 675-2432
Mailing address
6108 N DELAWARE ST, INDIANAPOLIS, IN 46220-1822
(317) 726-0106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010689A
IN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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