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1093853095
REGAN L MOORE
LOUISVILLE, KY
NPI
1093853095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: KY 5947)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. REGAN L MOORE DDS
501 S PRESTON ST
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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Mailing Address
Dr. REGAN L MOORE DDS
501 S PRESTON ST
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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