Merit Dental | |
3060 W Centre Ave Ofc B Portage MI 49024-4825 | |
(715) 926-5050 | |
Not Available |
Full Name | Merit Dental |
---|---|
Speciality | Dentist |
Location | 3060 W Centre Ave Ofc B, Portage, Michigan |
Authorized Official Name and Position | Jeffrey Moos (OWNER) |
Authorized Official Contact | 7159265050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Merit Dental 680 Hehli Way Mondovi WI 54755-1639 Ph: (715) 926-5050 | Merit Dental 3060 W Centre Ave Ofc B Portage MI 49024-4825 Ph: (715) 926-5050 |
NPI Number | 1952737538 |
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Provider Enumeration Date | 09/16/2013 |
Last Update Date | 09/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952737538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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