Individual
BERENICE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8381 LA PALMA AVE STE B, BUENA PARK, CA 90620-3271
(714) 602-1467
Mailing address
835 S MAYWOOD ST, ANAHEIM, CA 92805-5432
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
84016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84016
—
CA
Enumeration date
08/26/2020
Last updated
08/26/2020
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