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Search › Arizona › 363A00000X

Miguel Fonseca-Moreno

NPI 1417724402 · on the registry since 2023

Practice

Address
42104 N Venture Dr Ste D118
Anthem, AZ 85086
Phone
(623) 505-9880
Organisation at this address
Jh Dental
Anthem Endo Pllc
Anthem Dental Care
Diamond Dental, Llc
Smiles Of Beauty Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
207R00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona