Individual
DR. ALEXANDER JAKE ALFONSO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 RALEY BLVD STE 202, CHICO, CA 95928-8352
(530) 592-4688
Mailing address
101 RALEY BLVD STE 202, CHICO, CA 95928-8352
(530) 592-4688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64065
CA
Other
Enumeration date
01/16/2015
Last updated
08/02/2024
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