Dr. Dmitry Grigory Merzon, D.M.D
Dentist in Cambridge, MA. Individual provider (NPI-1).
NPI number1437561560
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1437561560
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dmitry Grigory Merzon
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2014
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN1856532 | MA | Yes |
Practice location
1751 Massachusetts Ave Fl 1Cambridge, MA 02140-2218
Phone 617-855-9092
Mailing address
1751 Massachusetts Ave Fl 1Cambridge, MA 02140-2218
Phone 617-207-8667
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