IBAN ROEL MORENO

CHULA VISTA, CA
NPI1265582258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  49605)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
Dr. IBAN ROEL MORENO D.D.S.
1101 BROADWAY
CHULA VISTA, CA 91911-2706
Phone number: 619-422-8891
Mailing Address
Dr. IBAN ROEL MORENO D.D.S.
1770 BOUQUET CANYON RD
CHULA VISTA, CA 91913-1561
Phone number: 619-397-0868