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1174708010
FREDERICK THOMAS MOORE
CHARLESTON, SC
NPI
1174708010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: SC 17)
Enumeration Date
2008-01-09
Last Update Date
2008-01-09
Business Address
Dr. FREDERICK THOMAS MOORE D.M.D.
173 ASHLEY AVE BSB 249,
CHARLESTON, SC 29425-8908
Phone number: 843-792-0693
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Mailing Address
Dr. FREDERICK THOMAS MOORE D.M.D.
173 ASHLEY AVE BSB 249, PO BOX 250507
CHARLESTON, SC 29425-8908
Phone number: 843-792-0693
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