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Organization
MERIT DENTAL MICHIGAN PC
Active
Organization
MERIT DENTAL MICHIGAN PC
Active
Other names
Merit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MOOS DDS (OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
3060 W CENTRE AVE OFC B, PORTAGE, MI 49024-4825
(715) 926-5050
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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