| Fredric A Moore Dmd Pc | |
|
514 W Bankhead Hwy Suite 600 Villa Rica GA 30180-1736 | |
| (770) 456-2550 | |
| (770) 456-7680 |
| Full Name | Fredric A Moore Dmd Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 514 W Bankhead Hwy, Villa Rica, Georgia |
| Authorized Official Name and Position | Fredric A Moore (PRESIDENT) |
| Authorized Official Contact | 7704562550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredric A Moore Dmd Pc 514 W Bankhead Hwy Suite 600 Villa Rica GA 30180-1736 Ph: (770) 456-2550 | Fredric A Moore Dmd Pc 514 W Bankhead Hwy Suite 600 Villa Rica GA 30180-1736 Ph: (770) 456-2550 |
| NPI Number | 1366652174 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366652174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 10414 (Georgia) | Primary |
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