Individual
DR. JEFFREY RICHARD MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 489-6972
(518) 446-1824
Mailing address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 489-6972
(518) 446-1824
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
034958
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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