| Kristin N. Moore, D.m.d., M.s., P.c. | |
|
900 West Il Route 22 Suite 170 Lake Zurich IL 60047 | |
| (847) 438-9090 | |
| Not Available |
| Full Name | Kristin N. Moore, D.m.d., M.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 900 West Il Route 22, Lake Zurich, Illinois |
| Authorized Official Name and Position | Kristin Moore (MANAGER/OWNER) |
| Authorized Official Contact | 8474013283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin N. Moore, D.m.d., M.s., P.c. 900 West Route 22 Suite 170 Lake Zurich IL 60047 Ph: (847) 438-9090 | Kristin N. Moore, D.m.d., M.s., P.c. 900 West Il Route 22 Suite 170 Lake Zurich IL 60047 Ph: (847) 438-9090 |
| NPI Number | 1184013575 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184013575 | NPI | - | NPPES |
| 1639503519 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021.002474 (Illinois) | Primary |
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