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Individual

ADALGISA MOREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
502 W GRAND BLVD, CORONA, CA 92882-2118
(909) 472-8182
Mailing address
672 SHAFFER ST, CORONA, CA 92879-8887
(909) 472-8182

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58057
CA

Other

Enumeration date
02/24/2009
Last updated
10/14/2010
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