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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HAZEL E MOORE, DDS

Active

General Dentistry · KENOSHA, WI

Registration Details

NPI Number
1114914066
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2005 (20.546004540592 yrs)
Last Updated
Dec 29, 2011
License
3267-015 (WI)

Practice Information

Address
4536 22ND AVE
KENOSHA, WI, 531405917
Browse WI providers · Browse ZIP 53140
Phone
2626560044
Fax
2626532218
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in KENOSHA, WI

Name Credential NPI
DR. JOHN P RENDE DDS 1225032550
DR. TONI M ROUCKA DDS 1578550521
CARLOS J MIRO DDS 1386626554
DR. JOSEPH E KUBICA D.D.S. 1801837554
SUSAN M CABLE D.D.S. 1083634679
DR. MANNIE M. BECK D.D.S. 1447264486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.