Kenneth A Mertz JR. DMD

NPI 1003882184 - Dentist - 1223G0001X

NPI Details
NPI 1003882184
Gender Male
Enumeration Date 02/27/2006
Last Updated 02/26/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1722 UNIVERSITY BLVD.
JACKSONVILLE FL, 32216, US
Phone (904) 253-1240
Fax (904) 727-6548
Business Location
900 UNIVERSITY BLVD N
MC - 75
JACKSONVILLE FL, 32211-9230, US
Phone (904) 253-2062
Fax (904) 253-1942
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN15901
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According to our database, Dr. Kenneth A Mertz JR. DMD NPI is 1003882184, taxonomy code is 1223G0001X and license number is DN15901, license state is located at Florida. Kenneth A Mertz JR. DMD physically located at 1722 University Blvd., Jacksonville FL, 32216. NPI Number Kenneth A Mertz JR. DMD has the Individual type.

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1003882184 NPI number is provided on an as is basis without warranty of any kind. 1003882184 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Mertz JR. DMD are for informational purposes only.