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Individual

JORGE DANIEL MEJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4 MANCHESTER AVE, DERRY, NH 03038-1931
(603) 434-1586
Mailing address
379 OAK ST, MANCHESTER, NH 03104-2616
(703) 953-0740

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857612
MA

Other

Enumeration date
07/18/2017
Last updated
05/09/2025
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