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NPI 1144619982

IndividualActive

Alexander Jake Moreno, D.D.S.

NPI 1144619982 · General Practice Dentistry · Chico, CA

Provider details

NPI number: 1144619982
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 64065 (CA)

Practice location

101 Raley Blvd Ste 202

Chico, CA 95928-8352

Phone: (530) 592-4688

More CA providers

Mailing address

101 Raley Blvd Ste 202

Chico, CA 95928-8352

Registry dates

Enumerated: 2015-01-16
Last updated: 2024-08-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexander Jake Moreno, D.D.S. — NPI 1144619982, Chico, CA | NPI Central