Individual
DR. JACQUELYN WALLACE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9000 ANDERSON MILL RD, AUSTIN, TX 78729
(512) 331-9088
(512) 918-9017
Mailing address
2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703
(512) 474-5233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20423
TX
Other
Enumeration date
10/16/2006
Last updated
12/01/2009
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