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1891866893
MELVIN GREGORY MOORE
JOHNSON CITY, TN
NPI
1891866893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 7175)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. MELVIN GREGORY MOORE D.D.S.
4723 N ROAN ST
JOHNSON CITY, TN 37615-3886
Phone number: 423-283-0511
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Mailing Address
Dr. MELVIN GREGORY MOORE D.D.S.
4723 N ROAN ST
JOHNSON CITY, TN 37615-3886
Phone number: 423-283-0511
Copy
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