Individual
DR. JENNIFER ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3000 HEMPSTEAD TPKE, SUITE 101, LEVITTOWN, NY 11756-1381
(516) 735-3535
Mailing address
9 BEVERLY RD, BETHPAGE, NY 11714-2201
(516) 935-3083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049808
NY
Other
Enumeration date
02/06/2007
Last updated
10/29/2013
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