Individual
DR. ELIZABETH MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 CHAUNCY ST STE 212, MANSFIELD, MA 02048-1200
(508) 942-3909
Mailing address
6 RUSSET HILL RD, FRANKLIN, MA 02038-1373
(508) 942-3909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-1386
OK
122300000X
Dentist
Primary
DN1859579
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/24/2022
Last updated
12/13/2022
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