# MERION DENTAL GROUP DBA MERION FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114648565
- **Authorized official:** DR. ANDREW M ROSEN DMD (OWNER)
- **Authorized official phone:** (610) 565-5077

## Contact information

- **Practice address:** 352 MONTGOMERY AVE, MERION STATION, PA 19066-1202
- **Practice address phone:** (484) 278-4441
- **Mailing address:** 352 MONTGOMERY AVE, MERION STATION, PA 19066-1202
- **Mailing address phone:** (484) 278-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2022
- **Last updated:** 09/05/2022
