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1922390822
RONALD MOORE
PRESCOTT, AZ
NPI
1922390822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D1717)
Enumeration Date
2011-05-10
Last Update Date
2011-05-10
Business Address
-- RONALD MOORE
222 S SUMMIT AVE
PRESCOTT, AZ 86303-3780
Phone number: 928-445-0582
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Mailing Address
-- RONALD MOORE
2430 N SHADOW VALLEY RANCH TRL
PRESCOTT, AZ 86305-6903
Phone number:
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