Individual
DR. MARK MERANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3223 N BROAD ST, TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY, PHILADELPHIA, PA 19140-5007
(215) 707-3996
Mailing address
3223 N BROAD ST, TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY, PHILADELPHIA, PA 19140-5007
(215) 707-3996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021469L
PA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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