| NPI | 1427456854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MORGAN MORGAN Dr. Morgan 307-789-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WY D1104) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: WY D1171) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |