Moreno, Michael Robert

Moreno, Michael Robert is an individual health care provider with primary practice located at 3427 Deer Park Dr Suite #C, Stockton CA 95219-2355. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Moreno, Michael Robert can be contacted via phone (209) 478-3036.

Contact Information

Primary practice address
3427 Deer Park Dr Suite #C Stockton CA 95219-2355
Phone: (209) 478-3036
Fax: (209) 478-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 32491 California

Profile Details

NPI number 1356422000
LBN Legal business name Moreno, Michael Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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