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Individual

DR. ALAN D MERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1601 E ALTON GLOOR BLVD, STE. 108, BROWNSVILLE, TX 78526-3902
(956) 621-3333
(956) 621-3336
Mailing address
1601 E ALTON GLOOR BLVD, STE. 108, BROWNSVILLE, TX 78526-3902
(956) 621-3333
(956) 621-3336

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180642404
TX
01
205292984
FEDERAL TAX ID
TX
01
D22778
TEXAS CHIP
TX
Enumeration date
02/21/2007
Last updated
12/15/2016
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