Individual
DR. ALFONSO JOHN MEROLA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5100 W TAFT RD STE 3K, LIVERPOOL, NY 13088-3809
(315) 452-2700
(315) 452-2705
Mailing address
5100 W TAFT RD STE 3K, LIVERPOOL, NY 13088-3809
(315) 452-2700
(315) 452-2705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058554
NY
Other
Enumeration date
04/23/2015
Last updated
08/15/2016
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