| Randall A. Moore, Dmd,pc | |
|
141 Milbank Ave Greenwich CT 06830-6616 | |
| (203) 869-3377 | |
| Not Available |
| Full Name | Randall A. Moore, Dmd,pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 141 Milbank Ave, Greenwich, Connecticut |
| Authorized Official Name and Position | Randall A. Moore (OWNER) |
| Authorized Official Contact | 2038693377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall A. Moore, Dmd,pc 141 Milbank Ave Greenwich CT 06830-6616 Ph: (203) 869-3377 | Randall A. Moore, Dmd,pc 141 Milbank Ave Greenwich CT 06830-6616 Ph: (203) 869-3377 |
| NPI Number | 1144528134 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144528134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 010308 (Connecticut) | Primary |
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