OrganizationKarla Moreno(<Unavail>)DentistDental ProvidersPractice AddressBlvd Gral Rodolfo Sanchez Taboada, 16004-6, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Karla Moreno does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1760170708Provider TypeOrganizationFull NameKarla MorenoOther Name<Unavail>SubpartNoEnumeration Date4/27/2023Last Updated4/27/2023Contact InformationPractice LocationPractice AddressBlvd Gral Rodolfo Sanchez Taboada, 16004-6, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021Fax(619) 329-9663Mailing LocationMailing Address4630 Border Village Rd # N1698, San Ysidro, CA 92173-3121PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameMoreno, Karla (Dentist)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer