Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ROBERT MORENO, DDS
ActiveDR. MICHAEL ROBERT MORENO, DDS is a Periodontology healthcare provider located in STOCKTON, California. NPI 1356422000 is currently active in the NPPES registry. Verify at CMS.
Periodontology · STOCKTON, CA
Registration Details
- NPI Number
- 1356422000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.860527872699 yrs)
- Last Updated
- Jul 8, 2007
- License
-
32491 (CA)
Practice Information
- Address
-
3427 DEER PARK DRSUITE #CSTOCKTON, CA, 952192355Browse CA providers · Browse ZIP 95219
- Phone
- 2094783036
- Fax
- 2094780258
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARK EDWARD BUCHMAN | — | 1700183746 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.