Merit Dental Inc.
NPI #1487166799 in Frackville, Pennsylvania
Provider Information
- NPI Number
- 1487166799
- Entity Type
- Organization
- Organization Name
- Merit Dental Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 128 W OAK ST
- City
- Frackville
- State
- Pennsylvania
- ZIP Code
- 17931-1718
- Phone
- (570) 874-1954
Authorized Official
- Name
- DIANE MARIE BRION-MARTIN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (715) 598-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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