| NPI | 1972112225 |
|---|---|
| Former Name | MORGAN LOUISE EIDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7655) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7655) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-04-26 |