TOM HAROLD MOORE

ROCKFORD, IL
NPI1366575722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19A13410)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Dr. TOM HAROLD MOORE D.D.S.
6075 VANTAGE PL
ROCKFORD, IL 61107-5905
Phone number: 815-399-0677
Mailing Address
Dr. TOM HAROLD MOORE D.D.S.
4318 OWEN CENTER RD
ROCKFORD, IL 61101-6108
Phone number: 815-963-8368