| John W. Moore Dds, Sc | |
|
1630 Losey Blvd S La Crosse WI 54601-6104 | |
| (608) 782-7374 | |
| (608) 782-4111 |
| Full Name | John W. Moore Dds, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1630 Losey Blvd S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Grace Esther Storlie (MANAGER) |
| Authorized Official Contact | 6087827374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Moore Dds, Sc 1630 Losey Blvd S La Crosse WI 54601-6104 Ph: (608) 782-7374 | John W. Moore Dds, Sc 1630 Losey Blvd S La Crosse WI 54601-6104 Ph: (608) 782-7374 |
| NPI Number | 1700517349 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700517349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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