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Individual
DR. ALAN D MERTA
Active
Individual
DR. ALAN D MERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180642404
—
TX
01
—
205292984
FEDERAL TAX ID
TX
01
—
D22778
TEXAS CHIP
TX
Enumeration date
02/21/2007
Last updated
12/15/2016
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