Individual
DR. ANDREW G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
107 YALE ST, HOUSTON, TX 77007-3753
(832) 709-2418
Mailing address
107 YALE ST STE 300, HOUSTON, TX 77007-3754
(832) 709-2418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36829
TX
1223G0001X
General Practice Dentistry
36829
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/20/2020
Last updated
10/27/2021
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