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Individual

STEVEN M MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5452
Mailing address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D9982
OR
1223G0001X
General Practice Dentistry
Primary
5092
AZ

Other

Enumeration date
05/27/2005
Last updated
12/19/2013
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