Individual
DR. MARLON K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1776 EASTCHESTER RD STE 230, BRONX, NY 10461-2335
(718) 518-1776
(718) 918-1776
Mailing address
1776 EASTCHESTER RD STE 230, BRONX, NY 10461-2335
(718) 518-1776
(718) 918-1776
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01815892
—
NY
Enumeration date
08/31/2006
Last updated
03/20/2024
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