Individual
DR. HENRY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4374 ATLANTA HWY STE 109, HIRAM, GA 30141-1849
(770) 505-9898
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123023
GA
Other
Enumeration date
05/03/2022
Last updated
09/25/2023
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