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General NPI Number Information
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NPI Number | 1619618014
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Entity Type | Organization
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Legal Business Name | MARIE A. MOECKEL, DDS INC
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 8899 UNIVERSITY CENTER LN STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92122-1009
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Country | US
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Telephone | 858-452-1504
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Fax |
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Provider Business Mailing Address
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Address Line | 8899 UNIVERSITY CENTER LN STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92122-1009
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Country | US
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Telephone | 858-452-1504
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. MARIE A MOECKEL
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Credential | DDS
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Telephone | 619-846-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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