Dr Carlos Manuel Moretta, DDS | |
11092 Anderson St, Loma Linda Univ. School Of Dentistry, Loma Linda, CA 92350-1706 | |
(909) 558-4671 | |
Not Available |
Full Name | Dr Carlos Manuel Moretta |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 11092 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356507818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 48515 (California) | Primary |
Entity Name | Loma Linda University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639270846 PECOS PAC ID: 7911971833 Enrollment ID: O20040825000556 |
Mailing Address | Practice Location Address |
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Dr Carlos Manuel Moretta, DDS 25058 Starr St, Loma Linda, CA 92354-2822 Ph: (909) 558-4671 | Dr Carlos Manuel Moretta, DDS 11092 Anderson St, Loma Linda Univ. School Of Dentistry, Loma Linda, CA 92350-1706 Ph: (909) 558-4671 |
Tina Mieun Park-lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 26554 Amherst Ct, Loma Linda, CA 92354 Phone: 909-769-8077 | |
Dr. Robert D Kiger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dental Service 160, Loma Linda Vamc, Loma Linda, CA 92357 Phone: 909-583-6127 | |
Dr. Gi Sun Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10935 Rincon St, Loma Linda, CA 92354 Phone: 909-967-3623 | |
David Roquiz, Dentist Medicare: Medicare Enrolled Practice Location: 11132 Morningstar Pl, Loma Linda, CA 92354 Phone: 863-414-0752 | |
Paul Jung, DDS MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson St Rm 3306, Loma Linda, CA 92350 Phone: 909-558-4671 | |
Dr. Jeffrey Martin Henkin, DDS, MS, FICD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24860 Taylor St, Loma Linda, CA 92350 Phone: 909-558-4610 Fax: 909-558-4801 | |
Jessica Junghwa Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, CA 95350 Phone: 909-558-4613 Fax: 909-558-4192 |