DR. KELLY MOORE, DDS
Dentist
Active
Individual
NPI: 1790277416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D14010 (MN) |
Frequently Asked Questions
NPI 1790277416 is the National Provider Identifier for DR. KELLY MOORE, DDS, a Dentist provider located in Mound, MN. This NPI was enumerated on May 30, 2018.
DR. KELLY MOORE, DDS practices at 5205 SHORELINE DR, Mound, MN 55364.
Quick Facts
- NPI
- 1790277416
- Type
- Individual
- Enumerated
- May 30, 2018
- Last Updated
- Apr 10, 2025
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