Provider Demographics
NPI:1932487725
Name:MORIN, ALINE (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ALINE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 NW 67TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2175
Mailing Address - Country:US
Mailing Address - Phone:305-823-8831
Mailing Address - Fax:305-823-8879
Practice Address - Street 1:7663 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4718
Practice Address - Country:US
Practice Address - Phone:954-719-6310
Practice Address - Fax:954-757-0392
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN194441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry