Provider Demographics
NPI:1164040424
Name:MORETA ABREU, ALEDY MIGUELINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEDY
Middle Name:MIGUELINA
Last Name:MORETA ABREU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HUNTINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1322
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:609-534-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029356001223G0001X
PADS0427971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice