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1124557228
ALEX MOORE
ROCKFORD, IL
NPI
1124557228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 1001449-15)
Enumeration Date
2017-06-12
Last Update Date
2019-11-11
Business Address
ALEX MOORE DMD, MS
6050 BRYNWOOD DR STE 205
ROCKFORD, IL 61114-6579
Phone number: 816-201-5955
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Mailing Address
ALEX MOORE DMD, MS
6050 BRYNWOOD DR STE 205
ROCKFORD, IL 61114-6579
Phone number: 815-621-6060
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