Lourdes Moreno DDS

NPI 1740660505 - Dentist - 122300000X

NPI Details
NPI 1740660505
Gender Female
Enumeration Date 06/05/2015
Last Updated 06/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
EUREKA CA, 95501-1219, US
Phone (707) 442-7078
Fax (707) 442-7298
Business Location
670 9TH ST
ARCATA CA, 95521-6248, US
Phone (707) 826-8633
Fax (707) 826-8638
Taxonomy Code 122300000X
License State California
License Number 63851
Remove 1740660505 NPI Number

According to our database, Lourdes Moreno DDS NPI is 1740660505, taxonomy code is 122300000X and license number is 63851, license state is located at California. Lourdes Moreno DDS physically located at 959 Myrtle Ave, Eureka CA, 95501-1219. NPI Number Lourdes Moreno DDS has the Individual type.

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1740660505 NPI number is provided on an as is basis without warranty of any kind. 1740660505 is maintained by the National Plan & Provider Enumeration System. The contents of Lourdes Moreno DDS are for informational purposes only.