Individual
DR. ANGELA MOURADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
175 JERICHO TPKE STE 108, SYOSSET, NY 11791-4501
(516) 364-1444
Mailing address
8533 67TH AVE, REGO PARK, NY 11374-5213
(718) 459-3750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048573
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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