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Dr. David Dwight Moore JR., DDS
Endodontist in San Mateo, California
NPI 1225204407

David Dwight Moore JR. is a Endodontist based in San Mateo, CA and is specialized in Endodontics. David Dwight Moore JR. practices in San Mateo, CA and has the professional credentials of DDS. The NPI Number for David Dwight Moore JR. is 1225204407 and holds a License No. (California).

The current practice location address for David Dwight Moore JR. is 235 N San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-340-0225.

Location: 235 N San Mateo Dr, San Mateo, CA, 94401-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225204407
Provider Name
David Dwight Moore JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
235 N San Mateo Dr, San Mateo, CA, 94401-2621
Phone Number
650-340-0225
Fax Number
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R394 01 MN RESIDENT PERMIT
institution
Provider Business Practice Location Address Details
Address
235 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2621
Phone Number
650-340-0225
Fax Number
person
Provider Business Mailing Address Details
Address
235 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2621
Phone Number
650-340-0225
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
59684 (California)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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