Individual
DR. DAVID HOLLAND MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PA
Contact information
Practice address
411 BILLINGSLEY RD, SUITE 106, CHARLOTTE, NC 28211-1046
(704) 377-3694
(704) 377-9790
Mailing address
1126 S KINGS DR, CHARLOTTE, NC 28207-1806
(704) 377-3694
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890110V
—
NC
Enumeration date
09/01/2006
Last updated
07/09/2007
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