Individual
MRS. LUZ M MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
239 ELM ST, NEWARK, NJ 07105-1720
(973) 491-0505
Mailing address
550 WASHINGTON AVE APT 4, BELLEVILLE, NJ 07109-3337
(973) 759-3640
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22H100861800
NJ
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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