KELLY JAMES MOORE

ROCKFORD, IL
NPI1396847216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-018631)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
Dr. KELLY JAMES MOORE DDS
6075 VANTAGE PL
ROCKFORD, IL 61107-5905
Phone number: 815-399-9040
Mailing Address
Dr. KELLY JAMES MOORE DDS
404 JAMES AVE
ROCKFORD, IL 61107-4626
Phone number: 815-399-7757
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