John W. Moore DDS, SC
John W. Moore DDS, SC provides General Practice Dentistry in LA Crosse, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1630 Losey Blvd SLA Crosse, WI 54601-6104
Phone: (608) 782-7374
Fax: (608) 782-4111
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1700517349 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Grace Storlie — Manager · (608) 782-7374 |
| NPI enumerated | June 23, 2022 |
| Last updated in NPPES | June 23, 2022 |
| Certification date | June 23, 2022 |
| Mailing address | 1630 Losey Blvd S, La Crosse, WI 54601-6104 |
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