| Merced Dental Group | |
|
1120 Olivewood Dr Merced CA 95348 | |
| (209) 263-1505 | |
| Not Available |
| Full Name | Merced Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1120 Olivewood Dr, Merced, California |
| Authorized Official Name and Position | Brandi De Armon (REGIONAL MANAGER) |
| Authorized Official Contact | 2093254395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merced Dental Group 1120 Olivewood Dr Merced CA 95348-1210 Ph: (209) 325-4395 | Merced Dental Group 1120 Olivewood Dr Merced CA 95348 Ph: (209) 263-1505 |
| NPI Number | 1063942597 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063942597 | NPI | - | NPPES |
| 1942410501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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