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Individual

AUTUMN MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2720 STANGE RD, AMES, IA 50010-3974
(515) 268-0516
Mailing address
2720 STANGE RD, AMES, IA 50010-3974
(515) 268-0516

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7590
NE
1223G0001X
General Practice Dentistry
Primary
DDS-10036
IA

Other

Enumeration date
11/25/2019
Last updated
01/13/2023
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