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NPI Code Detail

MEDICARE: DR. WULFRAN MORON DDS, MSD

MEDICARE: DR. WULFRAN MORON DDS, MSD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry879FL

General Provider Information

NPI Number : 1033041975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WULFRAN MORON DDS, MSD
Provider Business Mailing Address
First Line : 3300 S UNIVERSITY DR
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33328-2004
Country : US
Telephone Number : 954-262-1896
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-1896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ DR. WULFRAN MORON DDS, MSD” Practice Location

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