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Individual

MOSHE YEROSHALMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
81 NORTHFIELD AVE STE 203, WEST ORANGE, NJ 07052-5338
(973) 325-2725
(973) 325-0957
Mailing address
81 NORTHFIELD AVE STE 203, WEST ORANGE, NJ 07052-5338
(973) 325-2725
(973) 325-0957

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02436900
NJ
1223G0001X
General Practice Dentistry
048591
NY
1223G0001X
General Practice Dentistry
55486
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02548290
NY
Enumeration date
05/02/2007
Last updated
12/08/2010
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