Individual
DR. ROBERTO ALEXIS MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1205 N COLUMBUS ST, WEST LIBERTY, IA 52776-9601
(319) 627-2612
(319) 627-2178
Mailing address
1205 N COLUMBUS ST, WEST LIBERTY, IA 52776-9601
(319) 627-2612
(319) 627-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08737
IA
Other
Enumeration date
07/01/2010
Last updated
01/09/2013
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