Organization
TRACY R. MORALES, DDS PLLC
Active
Other names
Everlasting Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MORALES DDS (OWNER)
(210) 995-5348
Entity
Organization
Contact information
Practice address
1901 HERITAGE TRACE PARKWAY, SUITE 102, FORT WORTH, TX 76177
(817) 214-3333
(817) 270-9708
Mailing address
1311 PECOS DR, SOUTHLAKE, TX 76092-5916
(210) 995-5348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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