Provider Demographics
NPI:1134196330
Name:MORETT, ALEJANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:
Last Name:MORETT
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 PALOMAR ST
Mailing Address - Street 2:STE 1103
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-2611
Mailing Address - Country:US
Mailing Address - Phone:619-429-3948
Mailing Address - Fax:619-429-3974
Practice Address - Street 1:664 PALOMAR ST
Practice Address - Street 2:STE 1103
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-2611
Practice Address - Country:US
Practice Address - Phone:619-429-3948
Practice Address - Fax:619-429-3974
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG93023-01OtherDENTICAL
CA1578704OtherUNITED CONCORDIA
CA1578704OtherUNITED CONCORDIA
CAG98344-01OtherHEALTHY FAMILIES