Individual
DR. PENNY MERICLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.D.
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 287-8700
Mailing address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 287-8700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS025005L
PA
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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