Leonard Ray Moore DDS

NPI 1043273287 - Dentist - 1223G0001X

NPI Details
NPI 1043273287
Gender Male
Enumeration Date 04/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1426 STAMPEDE AVE
CODY WY, 82414-4226, US
Phone (307) 587-6028
Fax (307) 587-6506
Business Location
1426 STAMPEDE AVE
CODY WY, 82414-4226, US
Phone (307) 587-6028
Fax (307) 587-6506
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 788
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According to our database, Dr. Leonard Ray Moore DDS NPI is 1043273287, taxonomy code is 1223G0001X and license number is 788, license state is located at Wyoming. Leonard Ray Moore DDS physically located at 1426 Stampede Ave, Cody WY, 82414-4226. NPI Number Leonard Ray Moore DDS has the Individual type.

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1043273287 NPI number is provided on an as is basis without warranty of any kind. 1043273287 is maintained by the National Plan & Provider Enumeration System. The contents of Leonard Ray Moore DDS are for informational purposes only.