Individual
DR. MARIYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1478 POST RD, FAIRFIELD, CT 06824-5938
(203) 255-6851
Mailing address
175 JAFFREY ST, BROOKLYN, NY 11235-3022
(347) 224-6796
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13620
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2020
Last updated
12/03/2024
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