| NPI | 1235571712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THADDEUS MORGAN Owner/ Provider 407-324-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013869) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |