# DR. RONALD A MORENO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922047745
- **Gender:** Man
- **Credential:** D.D.S. P.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 00007519 | WA | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5021399 | DSHS NUMBER | WA |
| 01 | — | 57519 | WDS INSURANCE NUMBER | — |
| 01 | — | DE 00007519 | WA STATE LICENSE | WA |