| NPI | 1184013575 |
|---|---|
| Doing Business As | MOORE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MOORE Manager/Owner 847-401-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002474) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |