DR. HAZEL MOORE, DDS
Dentist - General Practice
Active
Individual
NPI: 1114914066
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 3267-015 (WI) |
Frequently Asked Questions
NPI 1114914066 is the National Provider Identifier for DR. HAZEL MOORE, DDS, a Dentist - General Practice provider located in Kenosha, WI. This NPI was enumerated on October 4, 2005.
DR. HAZEL MOORE, DDS practices at 4536 22ND AVE, Kenosha, WI 53140.
Quick Facts
- NPI
- 1114914066
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Dec 29, 2011
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