Randall A. Moore, Dmd,pc

NPI 1144528134 - Dentist - 1223X0400X

NPI Details
NPI 1144528134
Enumeration Date 03/01/2011
Last Updated 03/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RANDALL A. RANDALL
Position OWNER
Phone (203) 869-3377
Fax
Practice Location
141 MILBANK AVE
GREENWICH CT, 06830-6616, US
Phone (203) 869-3377
Fax
Business Location
141 MILBANK AVE
GREENWICH CT, 06830-6616, US
Phone (203) 869-3377
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Connecticut
License Number 010308
Remove 1144528134 NPI Number
 

According to our database, Randall A. Moore, Dmd,pc NPI is 1144528134, taxonomy code is 1223X0400X and license number is 010308, license state is located at Connecticut. Randall A. Moore, Dmd,pc physically located at 141 Milbank Ave, Greenwich CT, 06830-6616. NPI Number 1033115704 has the healthcare provider type.

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1144528134 NPI number is provided on an as is basis without warranty of any kind. 1144528134 is maintained by the National Plan & Provider Enumeration System. The contents of Randall A. Moore, Dmd,pc are for informational purposes only.