Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 50049 | CA |
NPI | 1063596815 |
---|---|
Provider Name | Dr. Jennifer D Morris |
First Address | Salinas, CA 93906 |
Second Address | Salinas, CA 93906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D50049 | (05) | CA |