Individual
RAFAEL KEITH MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2036 S MILLER LN STE B, CATOOSA, OK 74015-1539
(918) 937-7660
Mailing address
2000 E VAN BUREN ST, BROKEN ARROW, OK 74011-7457
(214) 281-9582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7752
OK
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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