| NPI | 1770084071 |
|---|---|
| Former Legal Business Name | JUAN A MORALES |
| Entity Type | Organization |
| Authorized Contact | JUAN A MORALES Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: 72888826) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: 1920004) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |