Organization
DR. ALICE P. MORAN, DMD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE POLEY MORAN (PRESIDENT)
(949) 338-7103
Entity
Organization
Contact information
Practice address
1001 AVENIDA PICO, SUITE K, SAN CLEMENTE, CA 92673-6957
(949) 361-4867
(949) 361-4868
Mailing address
1001 AVENIDA PICO, SUITE K, SAN CLEMENTE, CA 92673-6957
(949) 361-4867
(949) 361-4868
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48514
CA
Other
Enumeration date
12/25/2006
Last updated
02/11/2011
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