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Dr. Hazel E Moore, DDS
General Practice Dentistry in Kenosha, Wisconsin
NPI 1114914066

Hazel E Moore is a General Practice Dentistry based in Racine, WI and is specialized in General Practice. Hazel E Moore practices in Kenosha, WI and has the professional credentials of DDS. The NPI Number for Hazel E Moore is 1114914066 and holds a License No. 3267-015 (Wisconsin).

The current practice location address for Hazel E Moore is 4536 22Nd Ave, Kenosha, WI and can be reached out via phone at 262-656-0044 and via fax at 262-653-2218. You can also correspond with Hazel E Moore through the mailing address at 5822 CHARLES ST, RACINE, WI - 53402-1824 (mailing address contact number: 262-681-2085).

Location: 4536 22Nd Ave, Kenosha, WI, 53402-1824
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Provider Profile Details
NPI Number
1114914066
Provider Name
Hazel E Moore
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4536 22Nd Ave, Kenosha, WI, 53402-1824
Phone Number
262-656-0044
Fax Number
262-653-2218
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33462500 05 WI
institution
Provider Business Practice Location Address Details
Address
4536 22Nd Ave
City
State
Zip
53140-5917
Phone Number
262-656-0044
Fax Number
262-653-2218
person
Provider Business Mailing Address Details
Address
5822 Charles St
City
State
Zip
53402-1824
Phone Number
262-681-2085
Fax Number
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Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3267-015 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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