MEDICARE: H & C MORALES DENTAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	35766	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15530	OTHER	UT	UNITED HEALTH CARE
2	79595	OTHER	PA	UNITED CONCORDIA INSURANC
3	B35766-01	OTHER	CA	MEDICAL DENTI-CAL

General Provider Information

NPI Number	:	1518186923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & C MORALES DENTAL CORP

Provider Business Mailing Address
First Line	:	7316 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2666
Country	:	US
Telephone Number	:	650-755-0959
Fax Number	:	650-757-9549

Provider Business Practice Location Address
First Line	:	7316 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2666
Country	:	US
Telephone Number	:	650-755-0959
Fax Number	:	650-757-9549

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	HONESTO ROMAS MORALES
Credential	:	DMD
Telephone Number	:	650-755-0959

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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Directions to “H & C MORALES DENTAL CORP ” Practice Location

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