HAZEL E MOORE

KENOSHA, WI
NPI1114914066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  3267-015)
Enumeration Date2005-10-04
Last Update Date2011-12-29
Business Address
Dr. HAZEL E MOORE DDS
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
Mailing Address
Dr. HAZEL E MOORE DDS
5822 CHARLES ST
RACINE, WI 53402-1824
Phone number: 262-681-2085
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