Provider Demographics
NPI:1841508199
Name:MORGAN, DEBORAH L (DDS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1762
Mailing Address - Country:US
Mailing Address - Phone:760-753-6633
Mailing Address - Fax:760-753-6659
Practice Address - Street 1:2041 NEWCASTLE AVE
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1762
Practice Address - Country:US
Practice Address - Phone:760-753-6633
Practice Address - Fax:760-753-6659
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice