Individual
DR. ALICE P MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1001 AVENIDA PICO STE K, SAN CLEMENTE, CA 92673-6956
(949) 361-4867
(949) 361-4868
Mailing address
1001 AVENIDA PICO STE K, SAN CLEMENTE, CA 92673-6956
(949) 361-4867
(949) 361-4868
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48514
CA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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