Individual
DR. NICHOLAS MERICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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
(417) 962-3150
(417) 962-5839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016021051
MO
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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