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Organization
ALEXANDER JAKE MORENO, DDS, INC.
Active
Organization
ALEXANDER JAKE MORENO, DDS, INC.
Active
Other names
Ventura Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NENETTE MORENO (OFFICE MANAGER)
(805) 658-0700
Entity
Organization
Contact information
Practice address
178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
(805) 658-0700
Mailing address
178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
(805) 658-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64065
CA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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