Moore, Reginald Ivory

Moore, Reginald Ivory is an individual health care provider with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Reginald Ivory can be contacted via phone (951) 571-2300.

Contact Information

Primary practice address
22675 Alessandro Blvd Moreno Valley CA 92553-8551
Phone: (951) 571-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 27343 California

Profile Details

NPI number 1184842262
LBN Legal business name Moore, Reginald Ivory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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