Individual
MS. PATRICIA MORENO-CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 QUEBEC PKWY, COMMERCE CITY, CO 80022-4812
(303) 286-6755
(303) 286-4970
Mailing address
203 S ROLLIE AVE, BILLING DEPT - CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD3845
NM
122300000X
Dentist
Primary
DEN.00202526
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87780054
—
CO
Enumeration date
03/15/2012
Last updated
03/17/2016
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