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Dr. Carol Lynn Moreno, D.D.S

Dentist, General Practice in West Liberty, IA. Individual provider (NPI-1).

NPI number1174635221
StatusActive
Last updated in NPPESSep 11, 2012

Details

NPI
1174635221
Entity type
Individual (NPI-1)
Name
Dr. Carol Lynn Moreno
Credential
D.D.S
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Last updated
Sep 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6899IAYes

Practice location

1205 N Columbus St
West Liberty, IA 52776-9601

Phone 319-627-2612 · Fax 319-627-2178

Mailing address

1205 N Columbus St
West Liberty, IA 52776-9601

Phone 319-627-2612 · Fax 319-627-2178

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Other General Practice Dentistry providers in West Liberty, IA

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