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Organization
MICHAEL M. MORGAN, D.M.D, PA
Active
Organization
MICHAEL M. MORGAN, D.M.D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAYNES MORGAN D.M.D. (OWNER)
(352) 742-3500
Entity
Organization
Contact information
Practice address
2140 LAKE EUSTIS DR, TAVARES, FL 32778-2064
(352) 742-3500
(352) 742-0668
Mailing address
2140 LAKE EUSTIS DR, TAVARES, FL 32778-2064
(352) 742-3500
(352) 742-0668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073182000
—
FL
Enumeration date
07/09/2013
Last updated
07/09/2013
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