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1669468344
REX DALE MOORE
BLOOMINGTON, IL
NPI
1669468344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019014365)
Enumeration Date
2005-09-27
Last Update Date
2007-07-08
Business Address
Dr. REX DALE MOORE DDS
2103 E WASHINGTON ST STE 3E
BLOOMINGTON, IL 61701-4310
Phone number: 309-662-3123
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Mailing Address
Dr. REX DALE MOORE DDS
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701-4310
Phone number: 309-662-3123
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