Healthcare Provider Details
I. General information
NPI: 1548186182
Provider Name (Legal Business Name): PEDRO MORALES DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13133 HARBOR BLVD
GARDEN GROVE CA
92843-1717
US
IV. Provider business mailing address
16987 ROUNDHILL DR
HUNTINGTON BEACH CA
92649-4213
US
V. Phone/Fax
- Phone: 626-203-7343
- Fax:
- Phone: 626-203-7343
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PEDRO
MORALES
Title or Position: PRESIDENT
Credential:
Phone: 626-203-7343