Dr. Guy J Moore, D.D.S
Dentist, General Practice in Angola, IN. Individual provider (NPI-1).
NPI number1750436200
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750436200
- Entity type
- Individual (NPI-1)
- Name
- Dr. Guy J Moore
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12009773 | IN | Yes |
Practice location
205 E Harcourt RdAngola, IN 46703-7131
Phone 260-665-5767 · Fax 260-665-8606
Mailing address
205 E Harcourt RdAngola, IN 46703-7131
Phone 260-665-5767 · Fax 260-665-8606
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