Individual
MS. PATRICIA MOYANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
375 E MAIN ST, BAY SHORE, NY 11706-8418
(631) 665-0165
Mailing address
73 MADISON AVE, BAY SHORE, NY 11706-5746
(631) 647-4025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021377-1
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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