Individual
LUIS ANGEL MORALES VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1289 WINCHESTER AVE, REEDSPORT, OR 97467-1373
(541) 707-6027
Mailing address
852 N PERSHING ST, MOUNT ANGEL, OR 97362-9558
(503) 991-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12056
OR
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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