Provider Demographics
NPI:1629197389
Name:MORALES-GEORGE, ESTHER L (DMD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:L
Last Name:MORALES-GEORGE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 SW 8TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3158
Mailing Address - Country:US
Mailing Address - Phone:305-444-6203
Mailing Address - Fax:
Practice Address - Street 1:3727 SW 8TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3158
Practice Address - Country:US
Practice Address - Phone:305-444-6203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice