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1265582258
IBAN ROEL MORENO
CHULA VISTA, CA
NPI
1265582258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49605)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. IBAN ROEL MORENO D.D.S.
1101 BROADWAY
CHULA VISTA, CA 91911-2706
Phone number: 619-422-8891
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Mailing Address
Dr. IBAN ROEL MORENO D.D.S.
1770 BOUQUET CANYON RD
CHULA VISTA, CA 91913-1561
Phone number: 619-397-0868
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