Individual
LESLY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HOSPITAL AVE, NORTH ADAMS, MA 01247-2550
(254) 412-8999
Mailing address
77 HOSPITAL AVE, NORTH ADAMS, MA 01247-2550
(254) 412-8999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15592
MA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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