Mowa LLC
Dentist in Elmhurst, NY. Organization (NPI-2).
NPI number1164088860
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1164088860
- Entity type
- Organization (NPI-2)
- Legal business name
- Mowa LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2019
- Last updated
- May 17, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
9411 59th Ave Ste A5Elmhurst, NY 11373-5158
Phone 718-924-2555
Mailing address
3626 215th PlBayside, NY 11361-2209
Phone 917-833-2063
Authorized official
Morley Wang
Dentist
9178332063
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