Axpm - Merkley, LLC

NPI #1457861320 in Lebanon, Missouri

Provider Information

NPI Number
1457861320
Entity Type
Organization
Organization Name
Axpm - Merkley, LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 5, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
590 LYNN ST
ZIP Code
65536-2409
Phone
(417) 532-9535

Authorized Official

Name
AKIA JOHNSON
Title
CREDENTIALING SPECIALIST
Phone
(501) 781-2777

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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