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Organization
PEDIATRIC DENTAL CLINIC
Active
Organization
PEDIATRIC DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MERRITT (DR.)
(256) 766-0270
Entity
Organization
Contact information
Practice address
162 ANA DR, FLORENCE, AL 35630-1759
(256) 766-0270
(256) 766-8328
Mailing address
162 ANA DR, FLORENCE, AL 35630-1759
(256) 766-0270
(256) 766-8328
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3267
AL
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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