Individual
DR. EZRA MOCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
45 W 54TH ST, NEW YORK, NY 10019-5404
(212) 980-1111
Mailing address
45 W 54TH ST, SUITE 1 E, NEW YORK, NY 10019-5404
(212) 980-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037930
NY
Other
Enumeration date
06/08/2007
Last updated
09/15/2007
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