Individual
YVONNE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDAEF 2
Contact information
Practice address
618 ILLINOIS ST, POMONA, CA 91768-3613
(626) 391-2235
Mailing address
618 ILLINOIS ST, POMONA, CA 91768-3613
(626) 391-2235
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
36818
CA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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