DR. Tevin Michael Moreno, DDS
NPI #1467146555 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1467146555
- Entity Type
- Individual
- Name
- DR. Tevin Michael Moreno, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 5, 2023
- Last Updated
- Oct 7, 2023
Practice Location
- Address
- 318 LABREE AVE N
- State
- Minnesota
- ZIP Code
- 56701-2037
- Phone
- (218) 653-1165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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