Individual
DR. JASON M MERRITHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5217 N ROYAL DR, SUITE A, TRAVERSE CITY, MI 49684-6985
(231) 929-3606
(231) 929-0610
Mailing address
5217 N ROYAL DR, SUITE A, TRAVERSE CITY, MI 49684-6985
(231) 929-3606
(231) 929-0610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18899
MI
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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