Individual
JUDITH MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8806
(845) 294-8650
Mailing address
2570 ROUTE 9W, SUITE 10, CORNWALL, NY 12518-1323
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640673
—
NY
Enumeration date
12/26/2005
Last updated
05/31/2016
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