DR. LISA MOORE, DDS
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1407875891
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 12009706 (IN) |
Frequently Asked Questions
NPI 1407875891 is the National Provider Identifier for DR. LISA MOORE, DDS, a Dentist - Pediatric Dentistry provider located in South Bend, IN. This NPI was enumerated on July 18, 2006.
DR. LISA MOORE, DDS practices at 1005 E LASALLE AVE, South Bend, IN 46617.
Quick Facts
- NPI
- 1407875891
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Jul 9, 2007
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