Individual
DR. CELESTE DESIREE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6729 BRIDGE ST, FORT WORTH, TX 76112-0817
(817) 799-5961
Mailing address
6729 BRIDGE ST, FORT WORTH, TX 76112-0817
(214) 828-8215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40206
TX
Other
Enumeration date
03/31/2023
Last updated
02/13/2024
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