NPI 1083079164

David E Moore DDS, Ps

Organisation Dentist Yakima, WA

Practice location

Address: 11 N 11th Ave STE 107, Yakima, WA 98902-3085
Phone: (509) 457-4532
Fax: (509) 453-0175

Authorised official

Name: Charlene G Johnson
Title: Office Cordinator
Phone: (509) 457-4532

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 60381727 (WA)

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Registry record

NPI: 1083079164
Entity type: Organization
NPI issued: 16 Dec 2015
Record last updated: 16 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.