Organization
ALEXANDER JAKE MORENO, DDS, INC.
Active
Other names
Ventura Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NENETTE MORENO (OFFICE MANAGER)
(805) 658-0700
Entity
Organization
Contact information
Practice address
178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
(805) 658-0700
Mailing address
178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
(805) 658-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64065
CA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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