Merica Family Dental

NPI #1750043980 in Cabool, Missouri

Provider Information

NPI Number: 1750043980
Entity Type: Organization
Organization Name: Merica Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 530 SPRUCE AVE
City: Cabool
State: Missouri
ZIP Code: 65689-9712
Phone: (417) 962-3150

Authorized Official

Name: DR. NICHOLAS STOCK MERICA, DMD
Title: DENTIST
Phone: (801) 828-7053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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