Dr. Alice P. Moran, Dmd, Apc
NPI #1295890994 in San Clemente, California
Provider Information
- NPI Number
- 1295890994
- Entity Type
- Organization
- Organization Name
- Dr. Alice P. Moran, Dmd, Apc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 25, 2006
- Last Updated
- Feb 11, 2011
Practice Location
- Address
- 1001 AVENIDA PICO
- Address 2
- SUITE K
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6957
- Phone
- (949) 361-4867
Authorized Official
- Name
- DR. ALICE POLEY MORAN
- Title
- PRESIDENT
- Phone
- (949) 338-7103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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