Organization
LARRY R .MORRILL D.D.S. PROF. DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ROBERT MORRILL D.D.S. (PRESIDENT(ORTHODONTIST))
(650) 322-2817
Entity
Organization
Contact information
Practice address
1000 WELCH RD, SUITE 201, PALO ALTO, CA 94304-1811
(650) 322-2817
(650) 322-2817
Mailing address
1000 WELCH RD, SUITE 201, PALO ALTO, CA 94304-1811
(650) 322-2817
(650) 322-2817
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18379
CA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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