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Search › Minnesota › 122300000X

Kelly Moore, DDS

NPI 1790277416 · on the registry since 2018

Practice

Address
5205 Shoreline Dr
Mound, MN 55364
Phone
(952) 831-2800
Organisation at this address
West Lakes Dentistry, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 132 Pioneer Trl, Chaska, MN

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-10

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 Minnesota