Provider Demographics
NPI:1114077351
Name:MORALES, MARIA JUDINA B (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA JUDINA
Middle Name:B
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 1:3027 W FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-3617
Mailing Address - Country:US
Mailing Address - Phone:951-929-0582
Mailing Address - Fax:951-929-2793
Practice Address - Street 1:530 S MAIN ST # 137
Practice Address - Street 2:WESTERN DENTAL SERVICES INC
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4525
Practice Address - Country:US
Practice Address - Phone:714-480-3000
Practice Address - Fax:714-571-3560
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist