Provider Demographics
NPI:1003487349
Name:MORALES, JULIETA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIETA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8475 SW 94TH ST APT 117E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7368
Mailing Address - Country:US
Mailing Address - Phone:786-763-6144
Mailing Address - Fax:
Practice Address - Street 1:8475 SW 94TH ST APT 117E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7368
Practice Address - Country:US
Practice Address - Phone:786-763-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN263311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice