DR. Michel Mouravieff, D.M.D.

NPI #1548473531 in Ridgewood, New Jersey

Provider Information

NPI Number: 1548473531
Entity Type: Individual
Name: DR. Michel Mouravieff, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 525 N MAPLE AVE
City: Ridgewood
State: New Jersey
ZIP Code: 07450-1612
Phone: (201) 670-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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