Moreno Family Dentistry

NPI #1023277431 in Kansas City, Kansas

Provider Information

NPI Number: 1023277431
Entity Type: Organization
Organization Name: Moreno Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 753 STATE AVE
Address 2: STE 375
City: Kansas City
State: Kansas
ZIP Code: 66101-2516
Phone: (913) 647-1900

Authorized Official

Name: JOLENE L BIVENS
Title: OFFICE MANAGER
Phone: (913) 647-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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