Individual
DANIEL MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 W HOSPITALITY LN STE 104, SAN BERNARDINO, CA 92408-3244
(909) 554-3754
(909) 554-3752
Mailing address
2130 HILL CT, COLTON, CA 92324-9512
(626) 353-9685
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56331
STATE LICENSE
CA
Enumeration date
10/15/2008
Last updated
03/17/2018
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