Individual
DR. NELSON ANTONIO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30040 SW BOONES FERRY RD STE 20, WILSONVILLE, OR 97070-8910
(503) 682-4500
Mailing address
7578 ONEIL RD NE, KEIZER, OR 97303-1754
(503) 409-2324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10733
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10733
—
OR
Enumeration date
09/27/2017
Last updated
09/27/2017
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