# TRACY R. MORALES, DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everlasting Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194573212
- **Authorized official:** TRACY MORALES DDS (OWNER)
- **Authorized official phone:** (210) 995-5348

## Contact information

- **Practice address:** 1901 HERITAGE TRACE PARKWAY, SUITE 102, FORT WORTH, TX 76177
- **Practice address phone:** (817) 214-3333
- **Practice address fax:** (817) 270-9708
- **Mailing address:** 1311 PECOS DR, SOUTHLAKE, TX 76092-5916
- **Mailing address phone:** (210) 995-5348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024