| NPI | 1760859672 |
|---|---|
| Other Name | ISABEL MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: KY 9119) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9119) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-07-20 |