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1225022833
MARK PHILLIP MOORE
GAINESVILLE, GA
NPI
1225022833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA 011706)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
Dr. MARK PHILLIP MOORE DMD
2048 WINDWARD LN
GAINESVILLE, GA 30501-7418
Phone number: 770-297-7888
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Mailing Address
Dr. MARK PHILLIP MOORE DMD
2048 WINDWARD LN
GAINESVILLE, GA 30501-7418
Phone number: 770-297-7888
Copy
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