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Individual

MORGAN MOREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 267-2670
(414) 562-8432
Mailing address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 267-2670
(414) 562-8432

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001874-15
WI
1223G0001X
General Practice Dentistry
6001874-15
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100333597
WI
Enumeration date
05/08/2023
Last updated
07/17/2025
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