Individual
DR. GUSTAVO DANIEL MORETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5606 HIGHWAY 153, HIXSON, TN 37343-3725
(423) 877-1334
Mailing address
5606 HIGHWAY 153, HIXSON, TN 37343-3725
(423) 877-1334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
109092
CA
1223G0001X
General Practice Dentistry
Primary
12676
TN
Other
Enumeration date
09/25/2023
Last updated
01/15/2025
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