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1366575722
TOM HAROLD MOORE
ROCKFORD, IL
NPI
1366575722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19A13410)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Dr. TOM HAROLD MOORE D.D.S.
6075 VANTAGE PL
ROCKFORD, IL 61107-5905
Phone number: 815-399-0677
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Mailing Address
Dr. TOM HAROLD MOORE D.D.S.
4318 OWEN CENTER RD
ROCKFORD, IL 61101-6108
Phone number: 815-963-8368
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