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Organization
E. JOHN MORENO DMD., A DENTAL CORPORATION
Active
Organization
E. JOHN MORENO DMD., A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIM JOHN MORENO DMD (OWNER)
(949) 487-9220
Entity
Organization
Contact information
Practice address
6 HUGHES STE 100, IRVINE, CA 92618-2060
(949) 487-9220
Mailing address
6 HUGHES STE 100, IRVINE, CA 92618-2060
(949) 487-9220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D29929
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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