| Dr Kelly Rae Moore, DDS | |
|
5205 Shoreline Dr, Mound, MN 55364-1770 | |
| (952) 831-2800 | |
| Not Available |
| Full Name | Dr Kelly Rae Moore |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 5205 Shoreline Dr, Mound, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790277416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D14010 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Rae Moore, DDS 5205 Shoreline Dr, Mound, MN 55364-1770 Ph: (952) 260-6770 | Dr Kelly Rae Moore, DDS 5205 Shoreline Dr, Mound, MN 55364-1770 Ph: (952) 831-2800 |
Dr. Reilly Lynn Kroiss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5205 Shoreline Dr, Mound, MN 55364 Phone: 952-472-7717 | |
Dr. Robert A Lauer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5585 Shoreline Blvd, Mound, MN 55364 Phone: 952-472-1121 | |
Dr. Mazen Manla, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2363 Commerce Blvd, Mound, MN 55364 Phone: 952-472-1182 | |
Dr. Mary Bernadette Philp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5205 Shoreline Drive, Mound, MN 55364 Phone: 952-472-7717 Fax: 612-392-7915 |