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Organization

LUIS MORAN DDS A DENTAL CORP

Active
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Organization

LUIS MORAN DDS A DENTAL CORP

Active
Other names
San Angel Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS E MORAN DDS (PRESIDENT)
(323) 582-2888
Entity
Organization

Contact information

Practice address
7218 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-5735
(323) 582-2888
(323) 582-6694
Mailing address
7218 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-5735
(323) 582-2888
(323) 582-6694

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45150
CA

Other

Enumeration date
02/14/2007
Last updated
08/22/2020
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