NPI 1629682034

Danielle Moore, OPA

Practitioner Dental Assistant Holloman Afb, NM

Practice location

Address: 280 1st St, Holloman Afb, NM 88330-8273
Phone: (575) 572-2778

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in New Mexico →

Registry record

NPI: 1629682034
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2020
Record last updated: 2 Sep 2020

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.