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1710555115
ETHAN EMBREY MOORE
HATTIESBURG, MS
NPI
1710555115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 4212-21)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
Dr. ETHAN EMBREY MOORE DMD
4216 LINCOLN RD
HATTIESBURG, MS 39402-3093
Phone number: 601-268-3333
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Mailing Address
Dr. ETHAN EMBREY MOORE DMD
4216 LINCOLN RD
HATTIESBURG, MS 39402-3093
Phone number: 601-268-3333
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