Most Relevant Information
Provider Data
| NPI Number: | 1003451071 |
| Provider Name: | TAMIKA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2019 |
| Last Updated: | 11/13/2019 |
Provider Practice Location
60 E WARREN AVE
DETROIT
MI
482011312
Practice Location Phone/Fax
| Phone: | 3136262809 |
| Fax: |
Provider Mailing Location
60 E WARREN AVE
DETROIT
MI
482011312
Provider Mailing Phone/Fax
| Phone: | 3136262809 |
| Fax: |