Individual
CELESTE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 W FOOTHILL BLVD STE C2A, MONROVIA, CA 91016-2171
(626) 385-4936
Mailing address
404 S ROSALINDA AVE, AZUSA, CA 91702-5036
(626) 482-0842
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
73034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73034
—
CA
Enumeration date
05/16/2019
Last updated
05/16/2019
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