Female

Charzetta Moore DDS

General Practice Dentistry in Detroit, MI(View on Map)

Full Name

Charzetta Moore DDS

NPI Number

1417182197

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/25/2009

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901014832

Contact
Information

Purpose

Mailing
Location

Address

5848 APPLEWOOD
14411 W 8 MILE

City

West Bloomfield
Detroit

State

MI
MI

Postal Code

48322-3488
48235-1619

Country

US
US

Telephone Number

(248) 626-0221
(313) 861-4220

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/27/2009

Provider Address

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