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1770674806
ALISA O MOORE
ATLANTA, GA
NPI
1770674806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: GA 10731)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. ALISA O MOORE D.D.S.
2440 FAIRBURN RD SW SUITE 301
ATLANTA, GA 30331-5256
Phone number: 404-349-7777
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Mailing Address
Dr. ALISA O MOORE D.D.S.
PO BOX 310065
ATLANTA, GA 31131-0065
Phone number: 404-349-7777
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