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1720158470
BRENT ALLEN MOORE
FISHERS, IN
NPI
1720158470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010751A)
Enumeration Date
2006-11-09
Last Update Date
2008-03-25
Business Address
-- BRENT ALLEN MOORE DDS
11630 OLIO RD SUITE #100
FISHERS, IN 46037-7677
Phone number: 317-348-1354
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Mailing Address
-- BRENT ALLEN MOORE DDS
14575 LANSING PLACE
FISHERS, IN 46038
Phone number: 317-679-8207
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