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Individual

EDWARD MO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(646) 229-2130
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03121300
NJ

Other

Enumeration date
07/04/2023
Last updated
09/05/2025
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