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Individual

DAVID L MERELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PC

Contact information

Practice address
12508 WINCHESTER AVE, GRANDVIEW, MO 64030-2059
(816) 761-9343
Mailing address
2135 N STATE RT 7, PLEASANT HILL, MO 64080
(816) 540-2143

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO 12663
MO

Other

Enumeration date
07/09/2006
Last updated
07/08/2007
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