Individual
DR. DIANNE S MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2199 A1A S, ST AUGUSTINE, FL 32080-6513
(904) 471-3300
(904) 471-5240
Mailing address
2199 A1A S, ST AUGUSTINE, FL 32080-6513
(904) 471-3300
(904) 471-5240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN11855
LICENSE NO
FL
Enumeration date
06/29/2006
Last updated
07/08/2007
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