Organization
MERIT DENTAL II - MICHIGAN, PC
Active
Other names
Merit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (DIRECTOR, PAYER STRATEGY)
(612) 351-6876
Entity
Organization
Contact information
Practice address
4189 HIGHLAND RD, WATERFORD, MI 48328-2136
(248) 682-9653
(248) 682-9266
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 598-2311
(715) 350-6855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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