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Individual

CHARLES B MORRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
32106 MAIN STREET, SPRINGFIELD, LA 70462
(225) 294-3044
Mailing address
26437 HWY 42, HOLDEN, LA 70744-6412
(985) 981-0018

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1827380
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1827380
LA
Enumeration date
04/27/2007
Last updated
12/23/2013
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