NPI 1639852080

Christina Moore

Practitioner Dental Assistant Ridgeland, MS

Practice location

Address: 499 S Pear Orchard Rd APT 12e, Ridgeland, MS 39157-3609
Phone: (601) 749-6393

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1639852080
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2023
Record last updated: 11 Aug 2023

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.