Individual
MICHAEL MOAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 OLD COUNTRY RD STE 460, MINEOLA, NY 11501-4293
(516) 663-2752
Mailing address
20 UNITY CT, NESCONSET, NY 11767-1069
(631) 897-8611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064316
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
05/22/2025
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