Individual
DR. MIRALDA G MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
753 STATE AVE, SUITE 375, KANSAS CITY, KS 66101-2516
(913) 647-1900
(913) 647-1901
Mailing address
753 STATE AVE, SUITE 375, KANSAS CITY, KS 66101-2516
(913) 647-1900
(913) 647-1901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60041
KS
Other
Enumeration date
08/10/2005
Last updated
08/23/2011
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