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1578525184
RUSSELL ERNEST MOORE
JOHNSTOWN, PA
NPI
1578525184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA ds036489)
Enumeration Date
2006-04-06
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL ERNEST MOORE D.M.D
111 INDUSTRIAL PARK RD
JOHNSTOWN, PA 15904-1940
Phone number: 814-266-3151
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Mailing Address
Dr. RUSSELL ERNEST MOORE D.M.D
203 DELTA DR
JOHNSTOWN, PA 15904-1878
Phone number: 814-266-7192
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