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Organization
RIDGEWOOD DENTAL GROUP
Active
Organization
RIDGEWOOD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIETTA CUIFFO-MORADI DDS (PRES.)
(717) 456-7600
Entity
Organization
Contact information
Practice address
5431 MYRTLE AVE, RIDGEWOOD, NY 11385-3403
(715) 456-7600
(718) 821-3976
Mailing address
5431 MYRTLE AVE, RIDGEWOOD, NY 11385-3403
(715) 456-7600
(718) 821-3976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0423791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01001716
—
NY
Enumeration date
10/25/2007
Last updated
10/25/2007
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