| David E Moore Dds, Ps | |
|
11 N 11th Ave Ste 107 Yakima WA 98902-3085 | |
| (509) 457-4532 | |
| (509) 453-0175 |
| Full Name | David E Moore Dds, Ps |
|---|---|
| Speciality | Dentist |
| Location | 11 N 11th Ave Ste 107, Yakima, Washington |
| Authorized Official Name and Position | Charlene G Johnson (OFFICE CORDINATOR) |
| Authorized Official Contact | 5094574532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Moore Dds, Ps 11 N 11th Ave Ste 107 Yakima WA 98902-3085 Ph: (509) 457-4532 | David E Moore Dds, Ps 11 N 11th Ave Ste 107 Yakima WA 98902-3085 Ph: (509) 457-4532 |
| NPI Number | 1083079164 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083079164 | NPI | - | NPPES |
| 2029904 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60381727 (Washington) | Primary |
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