Individual
GREGORY MORANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
US ARMY DENTAL CLINIC COMMAND, INNKEEPER ST. BUILDING 4405, FORT RUCKER, AL 36362
(334) 255-9285
Mailing address
189 BOULTON CT, MADISON, AL 35756-4137
(256) 325-0297
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6596
NC
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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