NPI | 1245471564 |
---|---|
Professional Name | JULIE DECARLO MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 12331) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 13120) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2022-02-28 |