LISA MARIE MOORE

SOUTH BEND, IN
NPI1407875891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12009706)
Enumeration Date2006-07-18
Last Update Date2007-07-09
Business Address
Dr. LISA MARIE MOORE DDS
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7501
Mailing Address
Dr. LISA MARIE MOORE DDS
1005 E LASALLE AVE
SOUTH BEND, IN 46617-2818
Phone number: 574-245-7501
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