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Dr. Michael Robert Moreno, DDS
Periodontist in Stockton, California
NPI 1356422000

Michael Robert Moreno is a Periodontist based in Stockton, CA and is specialized in Periodontics. Michael Robert Moreno practices in Stockton, CA and has the professional credentials of DDS. The NPI Number for Michael Robert Moreno is 1356422000 and holds a License No. 32491 (California).

The current practice location address for Michael Robert Moreno is 3427 Deer Park Dr, Stockton, CA and can be reached out via phone at 209-478-3036 and via fax at 209-478-0258. You can also correspond with Michael Robert Moreno through the mailing address at 3427 DEER PARK DR, STOCKTON, CA - 95219-2355 (mailing address contact number: 209-478-3036).

Location: 3427 Deer Park Dr, Stockton, CA, 95219-2355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356422000
Provider Name
Michael Robert Moreno
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3427 Deer Park Dr, Stockton, CA, 95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3427 Deer Park Dr
City
Stockton
State
California
Zip
95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
person
Provider Business Mailing Address Details
Address
3427 Deer Park Dr
City
Stockton
State
California
Zip
95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
32491 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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