| NPI | 1578608238 |
|---|---|
| Professional Name | TANISHA R MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 23622) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8087) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-03-23 |