Kenneth Moore, DDS

NPI 1023296241 · on the registry since 2008 · sole proprietor

Practice

Address: 625 Menlo Ave
#5
Menlo Park, CA 94025
Phone: (650) 328-8544
Fax: (650) 382-9405
Organisation at this address: Katherine Brown,Dds
Samaneh Daftarian Dental Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California