Miguel Julian Moreno
ActiveCalifornia license 110099
License
- Licensed by
- Dental Board of California
- License number
- 110099
- Status
- Active (Current)
- First issued
- May 21, 2024
- Expires
- April 30, 2027
- License holder
- Miguel Julian Moreno
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3703 Vader Dr
Philadelphia, PA 19154-3030
Philadelphia, PA 19154-3030
Philadelphia County