Organization
KODP PLLC
Active
Other names
Kid Only Dental Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA JESSICA MOORE DDS (PEDIATRIC DENTIST)
(352) 335-7777
Entity
Organization
Contact information
Practice address
5209 SW 91ST DR, GAINESVILLE, FL 32608-3028
(352) 335-7777
(352) 727-4066
Mailing address
5209 SW 91ST DR, GAINESVILLE, FL 32608-3028
(352) 335-7777
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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