Organization
CLARISSA L MORALES DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA MORALES (PRESIDENT)
(407) 929-0904
Entity
Organization
Contact information
Practice address
3292 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 847-0100
Mailing address
9720 PEDDLERS WAY, ORLANDO, FL 32817-1823
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17264
FL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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