Organization
AXPM - MERKLEY, LLC
Active
Other names
Stryker Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
AKIA JOHNSON (CREDENTIALING SPECIALIST)
(501) 781-2777
Entity
Organization
Contact information
Practice address
590 LYNN ST, LEBANON, MO 65536-2409
(417) 532-9535
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
03/17/2018
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