NPI | 1588840334 |
---|---|
Former Name | JENNIFER LYNN MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 55452) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2018-10-30 |