Individual
DR. CARLO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1060 UNIVERSITY AVE # A201, SAN DIEGO, CA 92103-3310
(619) 543-0112
(619) 543-0094
Mailing address
1060 UNIVERSITY AVE A201, SAN DIEGO, CA 92103
(619) 543-0112
(619) 543-0094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50495
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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