Individual
DR. STEFANIE SOFIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
162 PROVIDENCE HWY, DEDHAM, MA 02026-1809
(781) 461-0666
Mailing address
34 OAK ST, WESTON, MA 02493-1444
(781) 608-0597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859111
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2021
Last updated
07/27/2021
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