Individual
DR. COURTNEY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2100 E WASHINGTON ST, BLOOMINGTON, IL 61701-4321
(309) 663-4114
Mailing address
2100 E WASHINGTON ST, BLOOMINGTON, IL 61701-4321
(309) 663-4114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030371
IL
1223G0001X
General Practice Dentistry
Primary
019030371
IL
Other
Enumeration date
08/03/2015
Last updated
09/03/2021
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