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1982810305
EFRAIM JOHN MORENO
SAN CLEMENTE, CA
NPI
1982810305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 029929)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. EFRAIM JOHN MORENO dmd
1031 AVENIDA PICO SUITE 202
SAN CLEMENTE, CA 92673-6352
Phone number: 949-487-9220
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Mailing Address
Dr. EFRAIM JOHN MORENO dmd
1031 AVENIDA PICO SUITE 202
SAN CLEMENTE, CA 92673
Phone number: 949-487-9220
Copy
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