St Moises Dental

NPI #1285899443 in Pomona, California

Provider Information

NPI Number: 1285899443
Entity Type: Organization
Organization Name: St Moises Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 26, 2008
Last Updated: Jul 26, 2008

Practice Location

Address: 12 RANCHO CAMINO DR STE 102
City: Pomona
State: California
ZIP Code: 91766-7008
Phone: (909) 865-8500

Authorized Official

Name: UBLESTER GOMEZ, DDS
Title: PRESIDENT/OWNER
Phone: (909) 865-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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