Morgan Dental Corporation
Clinic/Center, Dental in Brea, CA. Organization (NPI-2).
NPI number1821584061
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1821584061
- Entity type
- Organization (NPI-2)
- Legal business name
- Morgan Dental Corporation
- Organization subpart
- Yes
- Enumeration date
- Jul 10, 2018
- Last updated
- Jul 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DDS50648 | CA | Yes |
Other names
- California Dental Group Of Brea (Doing Business As)
Practice location
2820 E Imperial HwyBrea, CA 92821-6714
Phone 714-572-2818
Mailing address
1803 Ellis AveCaldwell, ID 83605-4810
Phone 208-229-0403
Authorized official
Jason H Morgan
Owner Ceo
2082290403
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