Individual
MISS MELISSA MORALES SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
34 AVE E, PONCE, PR 00730
(787) 843-9393
Mailing address
1034 AVE HOSTOS, PONCE, PR 00716-1115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3304
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2018
Last updated
06/25/2020
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