Organization
MORGAN-MICHAELS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY MORGAN DMD (PRESIDENT)
(309) 663-4114
Entity
Organization
Contact information
Practice address
2100 E WASHINGTON ST, BLOOMINGTON, IL 61701-4321
(309) 663-4114
(309) 663-1275
Mailing address
2100 E WASHINGTON ST, BLOOMINGTON, IL 61701-4321
(309) 663-4114
(309) 663-1275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2018
Last updated
09/03/2021
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