Organization
MORGAN EVERSHED DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN PAUL EVERSHED D.D.S. (OWNER)
(801) 358-6113
Entity
Organization
Contact information
Practice address
2273 E WILCOX DR, SIERRA VISTA, AZ 85635-2755
(801) 358-6113
Mailing address
2273 E WILCOX DR, SIERRA VISTA, AZ 85635-2755
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D008151
AZ
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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