Individual
HECTOR F MORALES MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BRANCH AVE, RED BANK, NJ 07701-2201
(732) 345-7100
(732) 345-7440
Mailing address
1 BRANCH AVE, RED BANK, NJ 07701-2201
(732) 345-7100
(732) 345-7440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19674
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223566125
TAX ID
NJ
Enumeration date
09/28/2006
Last updated
01/20/2023
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