| Jack O Moreno Dds Inc | |
|
15531 Devonshire Street Mission Hills CA 91345 | |
| (818) 894-7979 | |
| (818) 895-1159 |
| Full Name | Jack O Moreno Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15531 Devonshire Street, Mission Hills, California |
| Authorized Official Name and Position | Jack O Moreno (DENTIST) |
| Authorized Official Contact | 8188947979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack O Moreno Dds Inc 15531 Devonshire Street Mission Hills CA 91345 Ph: (818) 894-7979 | Jack O Moreno Dds Inc 15531 Devonshire Street Mission Hills CA 91345 Ph: (818) 894-7979 |
| NPI Number | 1558472126 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558472126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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