Individual
ANABEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 HAMILTON ST, WORCESTER, MA 01604-2203
(774) 375-0090
Mailing address
51 HAMILTON ST, WORCESTER, MA 01604-2203
(786) 651-6353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000452
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2023
Last updated
10/22/2024
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