Individual
MAUREEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Mailing address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4628
MA
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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