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Organization
MORGAN FAMILY DENTAL
Active
Organization
MORGAN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN REID MORGAN DDS (DR/OWNER)
(425) 350-7292
Entity
Organization
Contact information
Practice address
19810 OLD HIGHWAY 99 SW, SUITE #1, ROCHESTER, WA 98579-8684
(360) 870-7063
Mailing address
6843 KIRSOP LN SW, OLYMPIA, WA 98512-7916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60172604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009765
—
WA
01
—
2518403
TRICARE DENTAL
WA
Enumeration date
03/13/2012
Last updated
03/13/2012
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