Provider Demographics
NPI:1225800923
Name:ALMORE DENTAL STUDIO LLC
Entity Type:Organization
Organization Name:ALMORE DENTAL STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORETA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:929-228-8279
Mailing Address - Street 1:737 HOLLY LN STE 1
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2305
Mailing Address - Country:US
Mailing Address - Phone:929-228-8279
Mailing Address - Fax:
Practice Address - Street 1:737 HOLLY LN STE 1
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-2305
Practice Address - Country:US
Practice Address - Phone:929-228-8279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty