Andrea Hickson-moore RDH

NPI 1730506924 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1730506924
Gender Female
Enumeration Date 03/25/2014
Last Updated 03/25/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
361 MAPLE ST
9B
BROOKLYN NY, 11225-5134, US
Phone (347) 787-2259
Fax
Business Location
361 MAPLE ST
9B
BROOKLYN NY, 11225-5134, US
Phone (347) 787-2259
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State New York
License Number 001958
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According to our database, Mrs. Andrea Hickson-moore RDH NPI is 1730506924, taxonomy code is 124Q00000X and license number is 001958, license state is located at New York. Andrea Hickson-moore RDH physically located at 361 Maple St, Brooklyn NY, 11225-5134. NPI Number Andrea Hickson-moore RDH has the Individual type.

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1730506924 NPI number is provided on an as is basis without warranty of any kind. 1730506924 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Hickson-moore RDH are for informational purposes only.