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1124382957
JACOB GORDON MOORE
WACO, TX
NPI
1124382957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 27978)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
Dr. JACOB GORDON MOORE DDS
10104 SADDLE CREEK RD
WACO, TX 76708-7290
Phone number: 254-836-9595
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Mailing Address
Dr. JACOB GORDON MOORE DDS
10104 SADDLE CREEK RD
WACO, TX 76708-7290
Phone number: 254-836-9595
Copy
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