Individual
DR. WENDY MIRANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9449 GROVER DR, KING GEORGE, VA 22485-7076
(540) 775-5774
(540) 775-6538
Mailing address
9449 GROVER DR, KING GEORGE, VA 22485-7076
(540) 775-5774
(540) 775-6538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008888
VA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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