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Organization
WILSON MOROCHO DDS PC
Active
Organization
WILSON MOROCHO DDS PC
Active
Other names
Creative Dental of Queens
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON MOROCHO DDS (DENTIST)
(718) 459-4700
Entity
Organization
Contact information
Practice address
6358 WETHEROLE ST, REGO PARK, NY 11374-2930
(718) 459-4700
Mailing address
6358 WETHEROLE ST, REGO PARK, NY 11374-2930
(718) 459-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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