MEDICARE: PEDRO MORALES DDS, INC.

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

General Provider Information

NPI Number	:	1548186182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDRO MORALES DDS, INC.

Provider Business Mailing Address
First Line	:	16987 ROUNDHILL DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-4213
Country	:	US
Telephone Number	:	626-203-7343
Fax Number	:

Provider Business Practice Location Address
First Line	:	13133 HARBOR BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1717
Country	:	US
Telephone Number	:	626-203-7343
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PEDRO MORALES
Credential	:
Telephone Number	:	626-203-7343

Provider Enumeration Date	:	06/27/2026
Last Update Date	:	06/27/2026

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