Individual
DR. LORENA MOORHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E UNIVERSITY DR STE 11, MESA, AZ 85203-8046
(480) 610-2401
(480) 890-0812
Mailing address
1050 E UNIVERSITY DR STE 11, MESA, AZ 85203-8046
(480) 610-2401
(480) 890-0812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4631
AZ
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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