Individual
MRS. AMY JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
36124 42ND ST E, PALMDALE, CA 93552-6208
(818) 726-5458
Mailing address
36124 42ND ST E, PALMDALE, CA 93552-6208
(818) 726-5458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 329
CA
Other
Enumeration date
02/21/2011
Last updated
03/19/2011
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