Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 13132 | FL |
N | 124Q00000X | Dental Hygienist |
NPI | 1215248513 |
---|---|
Provider Name | Dr. Tal Morr |
First Address | Miami, FL 33180-1146 |
Second Address | Miami, FL 33180-1146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 01/07/2010 |