| NPI | 1699969998 |
|---|---|
| Doing Business As | MORENO DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLES C PARK President 951-656-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50087) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |