ETHAN EMBREY MOORE

COLUMBIA, MS
NPI1710555115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  4212-21)
Enumeration Date2021-06-14
Last Update Date2025-07-07
Business Address
Dr. ETHAN EMBREY MOORE DMD
430 BROAD ST
COLUMBIA, MS 39429-3006
Phone number: 601-736-7125
Mailing Address
Dr. ETHAN EMBREY MOORE DMD
430 BROAD ST
COLUMBIA, MS 39429-3006
Phone number: 601-736-7125