Individual
DR. MORRIS N POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1340 NORTH 600 EAST, SUITE 2, LOGAN, UT 84341
(435) 753-0462
(435) 753-7011
Mailing address
1340 NORTH 600 EAST, SUITE 2, LOGAN, UT 84341
(435) 753-0462
(435) 753-7011
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
92-137596-9921
UT
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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