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General NPI Number Information
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NPI Number | 1750895520
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Entity Type | Organization
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Legal Business Name | RICARDO MORALES DDS & OLGA MORALES DDS INC
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 4138 DYER ST STE 3
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City | UNION CITY
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State | CA
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Zip | 94587-3975
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Country | US
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Telephone | 510-487-4800
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Fax | 510-487-4802
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Provider Business Mailing Address
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Address Line | 4138 DYER ST STE 3
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City | UNION CITY
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State | CA
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Zip | 94587-3975
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Country | US
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Telephone | 510-487-4800
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Fax | 510-487-4802
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RICARDO RUBEN MORALES
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Credential | DDS
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Telephone | 510-487-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 42188
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License Number State | CA
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