Individual
JANICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 CHESTER AVE, CLEVELAND, OH 44106-1666
(216) 368-3200
Mailing address
23400 BRYDEN RD, BEACHWOOD, OH 44122-4021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025928
OH
1223G0001X
General Practice Dentistry
30.025928
OH
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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