Lake Plaza Moore-Ams, Pllc
NPI #1710788591 in Locust Grove, Virginia
Provider Information
- NPI Number
- 1710788591
- Entity Type
- Organization
- Organization Name
- Lake Plaza Moore-Ams, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 19, 2025
- Last Updated
- Mar 19, 2025
Practice Location
- Address
- 36101 GOODWIN DR
- City
- Locust Grove
- State
- Virginia
- ZIP Code
- 22508-2029
- Phone
- (540) 972-8100
Authorized Official
- Name
- DR. MARHILDA MORALES, DMD
- Title
- CEO
- Phone
- (540) 680-0923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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