Individual
DR. BORA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2376 BROADWAY, NEW YORK, NY 10024-2801
(212) 686-3686
Mailing address
1 EXECUTIVE DR APT 501, FORT LEE, NJ 07024-3342
(201) 736-8040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061568
NY
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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