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Miguel Moreno
NPI 1568081255 · on the registry since 2020
Practice
- Address
- 101 Bodin Cir
Travis Afb, CA 94535 - Phone
- (707) 424-1110
- Organisation at this address
- Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-TravisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 662
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-10
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 California