Individual
DR. MARIE MILAGROS MORA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 24TH ST DEPT OF, NEW YORK, NY 10010-4020
(212) 998-9457
Mailing address
345 E 24TH ST STE 407W, NEW YORK, NY 10010-4020
(646) 577-4470
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
000110-01
NY
Other
Enumeration date
02/06/2020
Last updated
10/02/2021
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