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Individual

DR. RICHARD JACK MORGAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11250 ROGER BACON DR, SUITE 13, RESTON, VA 20190-5219
(703) 437-7775
(703) 437-5623
Mailing address
11250 ROGER BACON DR, SUITE 13, RESTON, VA 20190-5219
(703) 437-7775
(703) 437-5623

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004793
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401004793
VA

Other

Enumeration date
10/04/2006
Last updated
09/11/2025
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