# ALEXANDER JAKE MORENO, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ventura Smiles Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336535269
- **Authorized official:** MRS. NENETTE MORENO (OFFICE MANAGER)
- **Authorized official phone:** (805) 658-0700

## Contact information

- **Practice address:** 178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
- **Practice address phone:** (805) 658-0700
- **Mailing address:** 178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
- **Mailing address phone:** (805) 658-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 64065 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 04/07/2015