Byron Patrick Moore, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Evansville, IN
- NPI
- 1245303577
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 12010628 (IN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Practice location
903 N Park Dr
Evansville, IN 47710-3629
(812) 424-3368