| Randall A. Moore, Dmd,pc | |
|
351 Manville Rd Pleasantville NY 10570-2152 | |
| (914) 769-2626 | |
| Not Available |
| Full Name | Randall A. Moore, Dmd,pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 351 Manville Rd, Pleasantville, New York |
| Authorized Official Name and Position | Randall A. Moore (OWNER) |
| Authorized Official Contact | 9147692626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall A. Moore, Dmd,pc 351 Manville Rd Pleasantville NY 10570-2152 Ph: (914) 769-2626 | Randall A. Moore, Dmd,pc 351 Manville Rd Pleasantville NY 10570-2152 Ph: (914) 769-2626 |
| NPI Number | 1689972663 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689972663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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