William Bennett Moore, DDS Valid NPI

Individual provider · General Practice Dentistry · Hampton, IA

NPI

1700827722

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

06306 (IA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-09

Last updated

2007-07-08