Individual
NANCY MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
202 COUNTY ST, ATTLEBORO, MA 02703-3535
(508) 222-5950
Mailing address
1663 BAY RIDGE PKWY, BROOKLYN, NY 11204-5134
(718) 578-3032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859346
MA
390200000X
Student in an Organized Health Care Education/Training Program
363679194
NY
Other
Enumeration date
07/14/2020
Last updated
08/11/2022
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