James T Moore, Dds, Pc Valid NPI
Organization · General Practice Dentistry · Bridgeton, MO
- NPI
- 1619168861
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11925 (MO)
- Enumerated
- 2007-08-05
- Last updated
- 2008-06-17
Practice location
11520 Saint Charles Rock Rd, Sutie 205
Bridgeton, MO 63044-2732
(314) 298-7772