Individual
DR. HEATHER B MOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
161 MADISON AVE, 8NW, NEW YORK, NY 10016-5421
(212) 685-7765
Mailing address
161 MADISON AVENUE, 8NW, NEW YORK, NY 10016
(212) 685-7765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050724-1
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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