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Organization
GIA DENTAL INC
Active
Organization
GIA DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN R MORENO DDS (DENTIST)
(619) 934-5713
Entity
Organization
Contact information
Practice address
355 K ST STE A, CHULA VISTA, CA 91911-1209
(619) 934-5713
(619) 934-6220
Mailing address
355 K ST STE A, CHULA VISTA, CA 91911-1209
(619) 934-5713
(619) 934-6220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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