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Organization
LUIS MORAN DDS A DENTAL CORPORATION
Active
Organization
LUIS MORAN DDS A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MORAN DDS (PRESIDENT)
(714) 484-9050
Entity
Organization
Contact information
Practice address
8682 BEACH BLVD, SUITE #102, BUENA PARK, CA 90620-4808
(714) 484-9050
(714) 484-9060
Mailing address
8682 BEACH BLVD, SUITE #102, BUENA PARK, CA 90620-4808
(714) 484-9050
(714) 484-9060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45150
CA
Other
Enumeration date
07/10/2010
Last updated
10/16/2017
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