Provider Demographics
NPI:1689546962
Name:MORALES LADRON DE GUEVARA, KALA DE LOS ANGELES (DDS, MSD)
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:DE LOS ANGELES
Last Name:MORALES LADRON DE GUEVARA
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 SOUTH LOOP E UNIT 42
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-1054
Mailing Address - Country:US
Mailing Address - Phone:281-796-5658
Mailing Address - Fax:
Practice Address - Street 1:5951 SOUTH LOOP E UNIT 42
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-1054
Practice Address - Country:US
Practice Address - Phone:281-796-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX420031223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics