Jeffrey Richard Moran, D.D.S. Valid NPI

Individual provider · Pediatric Dentistry · Albany, NY

NPI

1558400853

Type

Individual (Type 1)

Primary specialty

Pediatric Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0221X

License number

034958 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-05

Last updated

2007-07-08