Individual
MICHAEL MOSHENAYOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
17836 WEXFORD TER APT 2E, JAMAICA, NY 11432-3028
(718) 739-1300
Mailing address
10210 QUEENS BLVD, FOREST HILLS, NY 11375-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060829-01
NY
Other
Enumeration date
04/12/2017
Last updated
06/20/2023
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