Individual
DR. MONA OMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1075 CENTRAL PARK AVE., SUITE 104, SCARSDALE, NY 10583
(914) 472-9400
(914) 723-1160
Mailing address
1075 CENTRAL PARK AVE, SUITE 104, SCARSDALE, NY 10583-3242
(856) 906-1578
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
010131
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008014133
—
CT
Enumeration date
05/12/2009
Last updated
08/12/2014
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