Michael Allen Moore D.M.D

NPI 1417032301 - Dentist - 1223G0001X

NPI Details
NPI 1417032301
Gender Male
Enumeration Date 10/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9200 GREENFIELD RD
DETROIT MI, 48228-2202, US
Phone (313) 272-6500
Fax (313) 272-6726
Business Location
9200 GREENFIELD RD
DETROIT MI, 48228-2202, US
Phone (313) 272-6500
Fax (313) 272-6726
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901015279
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According to our database, Dr. Michael Allen Moore D.M.D NPI is 1417032301, taxonomy code is 1223G0001X and license number is 2901015279, license state is located at Michigan. Michael Allen Moore D.M.D physically located at 9200 Greenfield Rd, Detroit MI, 48228-2202. NPI Number Michael Allen Moore D.M.D has the Individual type.

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1417032301 NPI number is provided on an as is basis without warranty of any kind. 1417032301 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Allen Moore D.M.D are for informational purposes only.