ETHAN EMBREY MOORE

HATTIESBURG, MS
NPI1710555115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  4212-21)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
Dr. ETHAN EMBREY MOORE DMD
4216 LINCOLN RD
HATTIESBURG, MS 39402-3093
Phone number: 601-268-3333
Mailing Address
Dr. ETHAN EMBREY MOORE DMD
4216 LINCOLN RD
HATTIESBURG, MS 39402-3093
Phone number: 601-268-3333
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