Jessicah Lauren Moretz DDS, MS

NPI 1033542618 - Dentist - 122300000X

NPI Details
NPI 1033542618
Gender Female
Enumeration Date 08/18/2013
Last Updated 08/18/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
12821 MAIN ST STE 150
HESPERIA CA, 92345-9130, US
Phone (760) 947-9853
Fax
Business Location
25224 LAWTON AVE
LOMA LINDA CA, 92354-3541, US
Phone (803) 546-3121
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 62298
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According to our database, Mrs. Jessicah Lauren Moretz DDS, MS NPI is 1033542618, taxonomy code is 122300000X and license number is 62298, license state is located at California. Jessicah Lauren Moretz DDS, MS physically located at 12821 Main St Ste 150, Hesperia CA, 92345-9130. NPI Number Jessicah Lauren Moretz DDS, MS has the Individual type.

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1033542618 NPI number is provided on an as is basis without warranty of any kind. 1033542618 is maintained by the National Plan & Provider Enumeration System. The contents of Jessicah Lauren Moretz DDS, MS are for informational purposes only.