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Organization
NMC GENERAL DENTISTRY, PC
Active
Organization
NMC GENERAL DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO JOHN MEROLA III DMD (CEO)
(315) 452-2700
Entity
Organization
Contact information
Practice address
5100 W TAFT RD, SUITE 3K, LIVERPOOL, NY 13088-3807
(315) 452-2700
(315) 452-2705
Mailing address
5100 W TAFT RD, SUITE 3K, LIVERPOOL, NY 13088-3807
(315) 452-2700
(315) 452-2705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042450-1
NY
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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