Individual
MS. ELOISE L MOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
883 E MAIN ST, RIVERHEAD, NY 11901-2613
(631) 284-5500
Mailing address
356 SHEFFIELD CT, RIDGE, NY 11961-2028
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
011506
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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