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Organization
DR. ALICE P. MORAN, DMD, APC
Active
Organization
DR. ALICE P. MORAN, DMD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE POLEY MORAN (PRESIDENT)
(949) 338-7103
Entity
Organization
Contact information
Practice address
1001 AVENIDA PICO, SUITE K, SAN CLEMENTE, CA 92673-6957
(949) 361-4867
(949) 361-4868
Mailing address
1001 AVENIDA PICO, SUITE K, SAN CLEMENTE, CA 92673-6957
(949) 361-4867
(949) 361-4868
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48514
CA
Other
Enumeration date
12/25/2006
Last updated
02/11/2011
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