Organization
LAKE PLAZA MOORE-AMS, PLLC
Active
Other names
Lake Plaza Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARHILDA MORALES DMD (CEO)
(540) 680-0923
Entity
Organization
Contact information
Practice address
36101 GOODWIN DR, LOCUST GROVE, VA 22508-2029
(540) 972-8100
(540) 972-8300
Mailing address
36101 GOODWIN DR, LOCUST GROVE, VA 22508-2029
(540) 972-8100
(540) 972-8300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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