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Carlos Manuel Moretta, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Loma Linda, CA

NPI
1356507818
Type
Individual (Type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223S0112X
License number
48515 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2008-08-04
Last updated
2008-08-04
Practice location
11092 Anderson St, Loma Linda Univ. School Of Dentistry
Loma Linda, CA 92350-1706
(909) 558-4671

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