Individual
DR. DENNIS ROBERT MOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
106 DIVISION ST, COBLESKILL, NY 12043-4605
(518) 234-4365
Mailing address
511 CROSS HILL RD, RICHMONDVILLE, NY 12149-1722
(518) 294-6542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041422-1
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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