Ronald Moore
Ronald Moore is a General Practice Dentistry in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2011
Practice location Address checks out
222 S Summit AvePrescott, AZ 86303-3780
Phone: (928) 445-0582
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D1717 (AZ) |
|---|
Record details
| NPI number | 1922390822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2011 |
| Last updated in NPPES | May 10, 2011 |
| Mailing address | 2430 N Shadow Valley Ranch Trl, Prescott, AZ 86305-6903 |
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