NPI 1629494372

Lucien Alanzo Moolenaar, DDS

Practitioner General Practice Dentistry Charlotte Amalie, VI

Practice location

Address: 1403 4th Street, Sugar Estate, Charlotte Amalie, VI 00802
Phone: (340) 228-8800
Mailing address: PO Box 302275, Charlotte Amalie, VI 00803-2275

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 95 (VI)

Other Dentist providers in U.S. Virgin Islands →

Registry record

NPI: 1629494372
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2014
Record last updated: 10 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.