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1528118429
RANDOLPH S. MOORE
BUFORD, GA
NPI
1528118429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 011288)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. RANDOLPH S. MOORE D.M.D.
4470 COMMERCE DR STE B
BUFORD, GA 30518-7510
Phone number: 770-945-5369
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Mailing Address
Dr. RANDOLPH S. MOORE D.M.D.
4470 COMMERCE DR STE B
BUFORD, GA 30518-7510
Phone number: 770-945-5369
Copy
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