Organization
JEFFREY V. MERRIFIELD, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF MERRIFIELD D.D.S. (PRESTREAS)
(408) 849-5333
Entity
Organization
Contact information
Practice address
2664 BERRYESSA RD STE 116, SAN JOSE, CA 95132-2906
(408) 849-5333
(408) 929-5780
Mailing address
2664 BERRYESSA RD STE 116, SAN JOSE, CA 95132-2906
(408) 849-5333
(408) 929-5780
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18736
STATE DENTAL LICENSE
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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