Individual
JUAN ALBERTO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
560 N US HIGHWAY 441, LADY LAKE, FL 32159-3776
(352) 259-1065
Mailing address
757 BLUEBERRY DR, WELLINGTON, FL 33414-8226
(561) 714-7703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24241
FL
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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