Individual
MERINA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 746-1171
Mailing address
2713 S FAITH AVE, SIOUX FALLS, SD 57110-3202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024021082
MO
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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