Individual
DR. ELIZABETH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3556 RICHMOND AVE, STATEN ISLAND, NY 10312-3253
(212) 714-7003
Mailing address
1835 E HALLANDALE BEACH BLVD, SUITE 565, HALLANDALE BEACH, FL 33009-4619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042663
NY
Other
Enumeration date
09/19/2005
Last updated
01/22/2008
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