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Organization

MERTES AKRON PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY C MERTES DMD (PRESIDENT)
(330) 655-5437
Entity
Organization

Contact information

Practice address
5655 HUDSON DR STE 300, STE 300, HUDSON, OH 44236-4454
(330) 761-3430
(330) 655-5435
Mailing address
5655 HUDSON DRIVE, SUITE 300, HUDSON, OH 44236
(330) 655-5437
(330) 655-5435

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3021515
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2482764
OH
Enumeration date
07/08/2008
Last updated
03/24/2016
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