Dr. Miralda G Moreno, DDS
Dentist in Kansas City, KS. Individual provider (NPI-1).
NPI number1982605168
StatusActive
Last updated in NPPESAug 23, 2011
Details
- NPI
- 1982605168
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miralda G Moreno
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2005
- Last updated
- Aug 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 60041 | KS | Yes |
Practice location
753 State AveSuite 375
Kansas City, KS 66101-2516
Phone 913-647-1900 · Fax 913-647-1901
Mailing address
753 State AveSuite 375
Kansas City, KS 66101-2516
Phone 913-647-1900 · Fax 913-647-1901
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