| Jerry Morana, Jr., Dds, A Professional Corporation | |
|
6117 Brockton Ave Suite 103 Riverside CA 92506-2232 | |
| (951) 686-7420 | |
| (951) 686-6251 |
| Full Name | Jerry Morana, Jr., Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6117 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Jerry Morana (PRESIDENT) |
| Authorized Official Contact | 9516867420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Morana, Jr., Dds, A Professional Corporation 6117 Brockton Ave Suite 103 Riverside CA 92506-2232 Ph: (951) 686-7420 | Jerry Morana, Jr., Dds, A Professional Corporation 6117 Brockton Ave Suite 103 Riverside CA 92506-2232 Ph: (951) 686-7420 |
| NPI Number | 1316135122 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316135122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43372 (California) | Primary |
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