DR. Jack Wallace Morrison, DDS

NPI #1093954323 in Lutz, Florida

Provider Information

NPI Number: 1093954323
Entity Type: Individual
Name: DR. Jack Wallace Morrison, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 10, 2009
Last Updated: Feb 10, 2009

Practice Location

Address: 18850 DALE MABRY HWY N
City: Lutz
State: Florida
ZIP Code: 33548-4978
Phone: (813) 949-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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