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1508919374
BRIAN THOMAS MOORE
CHICAGO, IL
NPI
1508919374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020255)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. BRIAN THOMAS MOORE D.D.S.
30 N MICHIGAN AVE SUITE 804
CHICAGO, IL 60602-3402
Phone number: 312-630-2201
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Mailing Address
Dr. BRIAN THOMAS MOORE D.D.S.
30 N MICHIGAN AVE SUITE 804
CHICAGO, IL 60602-3402
Phone number: 312-630-2201
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