Individual
DR. BENJAMIN ROSS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 RAWLS RD, SUITE 200, ANGIER, NC 27501-6033
(715) 587-7025
Mailing address
29 CROWS VIEW DR, APT 106, GARNER, NC 27529-0048
(715) 587-7025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10065
NC
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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