Organization
ELIZABETH MOREJON, DMD, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER COLEMAN (FINANCIAL COORDINATOR)
(386) 672-4325
Entity
Organization
Contact information
Practice address
163 TOMOKA AVE, ORMOND BEACH, FL 32174-6348
(386) 672-4325
Mailing address
163 TOMOKA AVE, ORMOND BEACH, FL 32174-6348
(386) 672-4325
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194965533
NPI
FL
Enumeration date
05/25/2017
Last updated
07/21/2022
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