Individual
WILLIAM GEORGE MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
I-40 EXIT 102 SOUTH 1/2 MI, ACL INDIAN HOSPITAL, SAN FIDEL, NM 87049
(505) 552-5310
(505) 552-5490
Mailing address
EXIT 102 I-40 SOUTH 1/2 MI, ACL INDIAN HOSP IHS ATTN BUS OFFICE, SAN FIDEL, NM 87049
(505) 552-5385
(505) 552-5473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1332
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
10/05/2006
Last updated
07/08/2007
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