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1699981183
MARK WAYNE MOORE
MERIDIAN, MS
NPI
1699981183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: MS ENDO-321)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Dr. MARK WAYNE MOORE D.M.D.
2301 12TH ST
MERIDIAN, MS 39301-3934
Phone number: 601-483-1818
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Mailing Address
Dr. MARK WAYNE MOORE D.M.D.
2301 12TH ST
MERIDIAN, MS 39301-3934
Phone number: 601-483-1818
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