Individual
MORGAN TAYLOR REBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 2ND ST S STE 250, HUDSON, WI 54016-1599
(715) 808-0460
Mailing address
7800 S WHIPPOORWILL ST, TERRE HAUTE, IN 47802-5070
(812) 236-8551
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1002582-15
WI
1223P0221X
Pediatric Dentistry
D14521
MN
Other
Enumeration date
04/17/2019
Last updated
07/09/2021
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