| Mowa Llc | |
|
9411 59th Ave Ste A5 Elmhurst NY 11373-5158 | |
| (718) 924-2555 | |
| Not Available |
| Full Name | Mowa Llc |
|---|---|
| Speciality | Dentist |
| Location | 9411 59th Ave Ste A5, Elmhurst, New York |
| Authorized Official Name and Position | Morley Wang (DENTIST) |
| Authorized Official Contact | 9178332063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mowa Llc 3626 215th Pl Bayside NY 11361-2209 Ph: (917) 833-2063 | Mowa Llc 9411 59th Ave Ste A5 Elmhurst NY 11373-5158 Ph: (718) 924-2555 |
| NPI Number | 1164088860 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164088860 | NPI | - | NPPES |
| 03519275 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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