STEPHEN M MOORE

APPLETON, WI
NPI1033233705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5725-015)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- STEPHEN M MOORE
381 S KOOLS ST
APPLETON, WI 54914-3932
Phone number: 920-996-0123
Mailing Address
-- STEPHEN M MOORE
381 S KOOLS ST
APPLETON, WI 54914-3932
Phone number: 920-996-0123