Most Relevant Information
Provider Data
| NPI Number: | 1003478611 |
| Provider Name: | GRACE MOORE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 7570 |
Most Important Dates
| Enumeration Date: | 07/03/2019 |
| Last Updated: | 07/03/2019 |
Provider Practice Location
4000 E CAMPUS LOOP S
LINCOLN
NE
685831530
Practice Location Phone/Fax
| Phone: | 4024721333 |
| Fax: |
Provider Mailing Location
5402 GREENWOOD ST
LINCOLN
NE
685042218
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |