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Organization

KEN MORGAN FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEN MORGAN DDS (OWNER)
(504) 780-7006
Entity
Organization

Contact information

Practice address
3100 KINGMAN ST, SUITE 100, METAIRIE, LA 70006-5419
(504) 780-7006
Mailing address
3100 KINGMAN ST, SUITE 100, METAIRIE, LA 70006-5419
(504) 780-7006

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5198
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023104171
INDIVIDUAL NPI
LA
Enumeration date
04/10/2017
Last updated
04/10/2017
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