BRENT ALLEN MOORE

FISHERS, IN
NPI1720158470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  12010751A)
Enumeration Date2006-11-09
Last Update Date2008-03-25
Business Address
BRENT ALLEN MOORE DDS
11630 OLIO RD SUITE #100
FISHERS, IN 46037-7677
Phone number: 317-348-1354
Mailing Address
BRENT ALLEN MOORE DDS
14575 LANSING PLACE
FISHERS, IN 46038
Phone number: 317-679-8207
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