Organization
MERIT DENTAL MICHIGAN PC
Active
Other names
Merit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MOOS DDS (OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
3060 W CENTRE AVE OFC B, PORTAGE, MI 49024-4825
(715) 926-5050
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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