| 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 |