| NPI | 1023479847 |
|---|---|
| Doing Business As | MORENO AND YOUNG DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONALD ASAEL MORENO Manager Member 360-676-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 603588029) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2018-10-26 |