| NPI | 1134720691 |
|---|---|
| Former Legal Business Name | KARLA MORENO |
| Entity Type | Organization |
| Authorized Contact | KARLA MORENO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |