Individual
DENNIS NICHOLAS MOREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 FORTH WASHINGTON AVE, 1B, NEW YORK, NY 10032-4724
(212) 928-9000
(212) 928-6569
Mailing address
130 FORTH WASHINGTON AVE, 1B, NEW YORK, NY 10032-4724
(212) 928-9000
(212) 928-6569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28472
NY
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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