NPI | 1336368554 |
---|---|
Former Legal Business Name | F. RICARDO MORENO DDS, PC |
Entity Type | Organization |
Authorized Contact | F. RICARDO MORENO Owner President 512-442-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18322) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2008-10-27 |