Edwin Bottum-Morgan, PH.D

NPI 1225119456 · on the registry since 2006 · sole proprietor

Practice

Address: 100 Tamal Plz Ste 195
Corte Madera, CA 94925
Phone: (415) 927-4800
Organisation at this address: Corte Madera Rehab Llc
Marin Advanced Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California