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Dr. Alexander Jake Alfonso Moreno, DDS
General Practice Dentistry in Chico, California
NPI 1144619982

Alexander Jake Alfonso Moreno is a General Practice Dentistry based in Chico, CA and is specialized in General Practice. Alexander Jake Alfonso Moreno practices in Chico, CA and has the professional credentials of DDS. The NPI Number for Alexander Jake Alfonso Moreno is 1144619982 and holds a License No. 64065 (California).

The current practice location address for Alexander Jake Alfonso Moreno is 101 Raley Blvd Ste 202, Chico, CA and can be reached out via phone at 530-592-4688.

Location: 101 Raley Blvd Ste 202, Chico, CA, 95928-8352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144619982
Provider Name
Alexander Jake Alfonso Moreno
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
101 Raley Blvd Ste 202, Chico, CA, 95928-8352
Phone Number
530-592-4688
Fax Number
Provider Enumeration Date
01/16/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
101 Raley Blvd Ste 202
City
Chico
State
California
Zip
95928-8352
Phone Number
530-592-4688
Fax Number
person
Provider Business Mailing Address Details
Address
101 Raley Blvd Ste 202
City
Chico
State
California
Zip
95928-8352
Phone Number
530-592-4688
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
64065 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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