Organization Name: | MALO CLINIC ADVANCED REHABILITATION,LLC |
NPI Number: | 1164758421 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN MOSS (PARTNER) |
Mailing Address: | 201 Route 17 11th Floor Rutherford |
State: | NJ US |
Postal Code: | 070702574 |
Phone Number: | 2015282297 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |