| NPI | 1225690456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A MORGAN Owner/Dds 985-868-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |