Individual
SHARON MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E MAIN ST BLDG B, SOMERTON, AZ 85350-7409
(928) 236-8001
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H009117
AZ
Other
Enumeration date
09/05/2018
Last updated
08/13/2024
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