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Individual

DR. MORGAN ASHLEY EMERY DOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
2800 COLLEGE AVE BLDG 263, ALTON, IL 62002-4700
(618) 474-7000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029097
IL
1223G0001X
General Practice Dentistry
2012016531
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019029097
LICENSE
IL
01
2012016531
LICENSE
MO
Enumeration date
08/01/2012
Last updated
10/03/2024
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