Individual
DR. HENRY DUNBAR MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1111 E 87TH ST, CHICAGO, IL 60619-7038
(773) 374-9778
(773) 374-9013
Mailing address
1111 E. 87TH STREET, CHICAGO, IL 60619
(773) 374-9778
(773) 374-9013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1918737
IL
Other
Enumeration date
01/02/2007
Last updated
08/20/2007
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