Individual
ANIA C MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5526 BERGENLINE AVE STE 2, WEST NEW YORK, NJ 07093-4670
(201) 590-9500
(201) 430-8207
Mailing address
400 HARRISON AVE, HARRISON, NJ 07029-1720
(973) 484-0979
(973) 484-9608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02646500
NJ
Other
Enumeration date
07/19/2016
Last updated
03/10/2020
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