| Travis R. Moore, D.m.d., P.l.l.c. | |
|
2210 Wrightsville Ave Ste 5 Wilmington NC 28403-2575 | |
| (910) 763-0355 | |
| Not Available |
| Full Name | Travis R. Moore, D.m.d., P.l.l.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2210 Wrightsville Ave Ste 5, Wilmington, North Carolina |
| Authorized Official Name and Position | Travis Randall Moore (DOCTOR/OWNER) |
| Authorized Official Contact | 9107630355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis R. Moore, D.m.d., P.l.l.c. 2210 Wrightsville Ave Ste 5 Wilmington NC 28403-2575 Ph: (910) 763-0355 | Travis R. Moore, D.m.d., P.l.l.c. 2210 Wrightsville Ave Ste 5 Wilmington NC 28403-2575 Ph: (910) 763-0355 |
| NPI Number | 1093367435 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093367435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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