Organization
MERICA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS STOCK MERICA DMD (DENTIST)
(801) 828-7053
Entity
Organization
Contact information
Practice address
530 SPRUCE AVE, CABOOL, MO 65689-9712
(417) 962-3150
(417) 962-5839
Mailing address
PO BOX 920, CABOOL, MO 65689-0920
(417) 962-3150
(417) 962-5839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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