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Individual

DR. JOHNNY CLARK MORAES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3015 BAYVIEW DR STE B, FORT LAUDERDALE, FL 33306-1710
(954) 658-4561
Mailing address
3015 BAYVIEW DR STE B, FORT LAUDERDALE, FL 33306-1710
(954) 658-4561

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29497
FL

Other

Enumeration date
07/25/2022
Last updated
02/07/2025
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