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1417182197
CHARZETTA MOORE
DETROIT, MI
NPI
1417182197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901014832)
Enumeration Date
2009-05-25
Last Update Date
2009-05-27
Business Address
-- CHARZETTA MOORE DDS
14411 W 8 MILE
DETROIT, MI 48235-1619
Phone number: 313-861-4220
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Mailing Address
-- CHARZETTA MOORE DDS
5848 APPLEWOOD APT 1404
WEST BLOOMFIELD, MI 48322-3488
Phone number: 248-626-0221
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