Jack Frank Moores III DDS

NPI 1003996760 - Dentist - 1223S0112X

NPI Details
NPI 1003996760
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
42051 MOUND RD
STERLING HEIGHTS MI, 48314-3143, US
Phone (586) 323-7700
Fax (586) 323-7707
Business Location
42051 MOUND RD
STERLING HEIGHTS MI, 48314-3143, US
Phone (586) 323-7700
Fax (586) 323-7707
Toxanomy
Taxonomy Code 1223S0112X
License State Michigan
License Number 2901016423
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According to our database, Dr. Jack Frank Moores III DDS NPI is 1003996760, taxonomy code is 1223S0112X and license number is 2901016423, license state is located at Michigan. Jack Frank Moores III DDS physically located at 42051 Mound Rd, Sterling Heights MI, 48314-3143. NPI Number Jack Frank Moores III DDS has the Individual type.

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1003996760 NPI number is provided on an as is basis without warranty of any kind. 1003996760 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Frank Moores III DDS are for informational purposes only.