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1831287721
JACOB MORENO
SYLMAR, CA
NPI
1831287721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 32143)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
DR. JACOB MORENO D.D.S.
12737 GLENOAKS BLVD STE 6
SYLMAR, CA 91342-4757
Phone number: 818-833-7216
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Mailing Address
DR. JACOB MORENO D.D.S.
28359 BROOKVIEW TER
SANTA CLARITA, CA 91350-4446
Phone number: 818-833-7216
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