Organization
MALO CLINIC ADVANCED REHABILITATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MOSS DMD (PARTNER)
(201) 528-2297
Entity
Organization
Contact information
Practice address
201 ROUTE 17, 11TH FLOOR, RUTHERFORD, NJ 07070-2574
(201) 528-2297
Mailing address
201 ROUTE 17, 11TH FLOOR, RUTHERFORD, NJ 07070-2574
(201) 528-2297
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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