Organization
AXPM - MERKLEY, LLC
Active
Other names
Southeast Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERRITT DAKE CPA (MANAGER/OWNER)
(501) 781-2777
Entity
Organization
Contact information
Practice address
2116 MEGAN DR., SUITE 101, CAPE GIRARDEAU, MO 63701
(573) 296-2898
(573) 349-4391
Mailing address
5100 TALLEY ROAD, SUITE 100, LITTLE ROCK, AR 72204
(501) 781-2777
(501) 781-2778
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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