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Individual

DR. RONALD A MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S. P.S.

Contact information

Practice address
3115 HOWE PL., SUITE 101, BELLINGHAM, WA 98226-1735
(360) 676-0642
(360) 676-1418
Mailing address
3115 HOWE PL., SUITE 101, BELLINGHAM, WA 98226-1735
(360) 676-0642
(360) 676-1418

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 00007519
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5021399
DSHS NUMBER
WA
01
57519
WDS INSURANCE NUMBER
01
DE 00007519
WA STATE LICENSE
WA
Enumeration date
06/06/2006
Last updated
03/07/2023
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