Individual
DR. ANDREW FELICIANO ALFONSO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15531 DEVONSHIRE ST, MISSION HILLS, CA 91345-2620
(818) 894-7979
Mailing address
2206 PARKER CT, SIMI VALLEY, CA 93065-2439
(805) 390-7064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS104995
CA
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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