Provider Demographics
NPI:1518186923
Name:H & C MORALES DENTAL CORP
Entity Type:Organization
Organization Name:H & C MORALES DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:HONESTO
Authorized Official - Middle Name:ROMAS
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:650-755-0959
Mailing Address - Street 1:7316 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2666
Mailing Address - Country:US
Mailing Address - Phone:650-755-0959
Mailing Address - Fax:650-757-9549
Practice Address - Street 1:7316 MISSION ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2666
Practice Address - Country:US
Practice Address - Phone:650-755-0959
Practice Address - Fax:650-757-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA357661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT15530OtherUNITED HEALTH CARE
PA79595OtherUNITED CONCORDIA INSURANC
CAB35766-01OtherMEDICAL DENTI-CAL